Individual
DR. RACHEL KELLI LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1805 HERRINGTON RD, BUILDING 3, STE. 3-B, LAWRENCEVILLE, GA 30043-7987
(770) 722-7827
(770) 760-0624
Mailing address
PO BOX 58, FLOWERY BRANCH, GA 30542-0001
(770) 722-7827
(770) 962-1886
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY002801
GA
103TA0700X
Adult Development & Aging Psychologist
PSY002801
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY002801
GA
103TC0700X
Clinical Psychologist
PSY002801
GA
103TF0200X
Forensic Psychologist
PSY002801
GA
103TH0004X
Health Psychologist
PSY002801
GA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY002801
GA
103TR0400X
Rehabilitation Psychologist
PSY002801
GA
Other
Enumeration date
05/19/2007
Last updated
10/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us