Individual
M STAGNO
Active
Individual
M STAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071005066
IL
103TC0700X
Clinical Psychologist
071-005066
IL
103TF0200X
Forensic Psychologist
071-005066
IL
103TH0100X
Health Service Psychologist
Primary
071-005066
IL
Other
Enumeration date
12/27/2006
Last updated
01/27/2026
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