Individual
DR. TRISHA NICOLE STACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER, CLEVELAND, OH 44106-1716
(216) 844-3887
Mailing address
2460 FAIRMOUNT BLVD STE 315, CLEVELAND HEIGHTS, OH 44106-3164
(216) 302-4733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.013376
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
06/26/2019
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