Individual
MS. STACEY LYNN PLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED, NCSP
Contact information
Practice address
1 LYNHAVEN DR, NEW CITY, NY 10956-2422
(845) 598-0226
Mailing address
1 LYNHAVEN DR, NEW CITY, NY 10956-2422
(845) 598-0226
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
174400000X
Specialist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/28/2012
Last updated
11/12/2020
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