Individual
STACEY L. SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL PSYCHOLOGY
Contact information
Practice address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-4055
Mailing address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-4055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32024
TX
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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