Individual
STACYANN MAISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 ROSS CIR, POUGHKEEPSIE, NY 12601-1078
(845) 454-4906
(845) 483-3268
Mailing address
198 CREAM ST, POUGHKEEPSIE, NY 12601-6316
(860) 670-9183
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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