Individual
DR. SCOTT C. STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4321 W 6TH ST STE B, LAWRENCE, KS 66049-3607
(785) 856-8218
(785) 841-8281
Mailing address
4321 W 6TH ST STE B, LAWRENCE, KS 66049-3607
(785) 856-8218
(785) 841-8781
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1075
KS
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1075
KS
103TB0200X
Cognitive & Behavioral Psychologist
1075
KS
103TC0700X
Clinical Psychologist
Primary
1075
KS
103TF0200X
Forensic Psychologist
1075
KS
103TP2701X
Group Psychotherapy Psychologist
1075
KS
Other
Enumeration date
12/22/2006
Last updated
04/30/2021
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