Individual
MS. STACEY LEBOUEF JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
7106 HIGHWAY 90 W, NEW IBERIA, LA 70560-7649
(757) 653-2692
Mailing address
7106 HIGHWAY 90 W, NEW IBERIA, LA 70560-7649
(757) 653-2692
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
000758250
TN
103TS0200X
School Psychologist
0014
LA
103TS0200X
School Psychologist
0972986
OK
103TS0200X
School Psychologist
1997934
GA
103TS0200X
School Psychologist
820792
UT
103TS0200X
School Psychologist
Primary
PPS-0609322
VA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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