Individual
DR. THOMAS WOOD STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10784 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 964-0425
(410) 964-0515
Mailing address
10784 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 964-0425
(410) 964-0515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1713
MD
Other
Enumeration date
07/11/2005
Last updated
09/24/2012
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