Individual
DR. JESSICA STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10561 BARKLEY ST STE 630, OVERLAND PARK, KS 66212-1880
(913) 415-2204
Mailing address
10561 BARKLEY ST STE 630, OVERLAND PARK, KS 66212-1880
(913) 415-2204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
03033
KS
103TC0700X
Clinical Psychologist
Primary
2018017437
MO
Other
Enumeration date
04/02/2014
Last updated
12/10/2024
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