Individual
DR. STACY LEE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2155 S BASCOM AVE STE 103, CAMPBELL, CA 95008-3200
(262) 719-8185
(408) 559-9024
Mailing address
17665 RACCOON CT, MORGAN HILL, CA 95037-6324
(408) 612-8460
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
31020
CA
103TC0700X
Clinical Psychologist
31020
CA
103TC0700X
Clinical Psychologist
3291-57
WI
Other
Enumeration date
09/19/2014
Last updated
01/17/2020
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