Individual
DR. STACY ALICE WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-5991
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-5991
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
60016697
NY
103TC1900X
Counseling Psychologist
6291316-2501
UT
103TC1900X
Counseling Psychologist
Primary
696
NE
Other
Enumeration date
07/04/2006
Last updated
07/29/2016
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