Individual
STACEY ALLENE GRAZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
1990 E LOHMAN AVE STE 213, LAS CRUCES, NM 88001-3172
(801) 609-8037
Mailing address
PO BOX 14003, LAS CRUCES, NM 88013-4003
(801) 609-8037
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1444
NM
103TC0700X
Clinical Psychologist
Primary
9444446-2501
UT
103TS0200X
School Psychologist
319903
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10856552
—
NM
Enumeration date
11/07/2006
Last updated
11/24/2025
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