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Individual

DR. STACEY DELANOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
1747 BAPTIST CLAY DR STE 350, FLEMING ISLAND, FL 32003-8504
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11244
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
$$$$$$$$$
NE
01
1821437443
NPI 1
NE
01
1851916373
NPI 2
NE
Enumeration date
06/17/2013
Last updated
09/19/2025
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