Individual
DR. STACY LYNN CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
310 S. PILLARD ST, SUITE 160, WINTER GARDEN, FL 34787
(407) 415-1450
(321) 234-5587
Mailing address
310 S. PILLARD ST, SUITE 160, WINTER GARDEN, FL 34787
(407) 415-1450
(321) 234-5587
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7472
FL
103TC2200X
Clinical Child & Adolescent Psychologist
20042187A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
PY7472
FL
Other
Enumeration date
06/13/2007
Last updated
08/06/2021
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