Individual
DR. STACEY BOUFFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
412 E 4TH ST, TUCSON, AZ 85705-7804
(520) 360-2270
Mailing address
412 E 4TH ST, TUCSON, AZ 85705-7804
(520) 360-2270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005788
AZ
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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