Individual
DR. CHRISTINA L STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Mailing address
515 N BROADWAY, LEXINGTON, KY 40508-1328
(859) 333-0074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
269363
KY
103TS0200X
School Psychologist
269363
KY
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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