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Individual

STACY PEARSON

Active
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Individual

STACY PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07111972
ND
Enumeration date
11/20/2019
Last updated
11/20/2019
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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