Individual
DESMOND GRAHAM STACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
339 CAJON ST STE B, REDLANDS, CA 92373-5983
(909) 723-7673
Mailing address
1317 W OLIVE AVE, REDLANDS, CA 92373-4927
(909) 798-1814
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18291
CA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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