Individual
DR. STACY IKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
805 MADISON ST SE, SUITE 2-C, HUNTSVILLE, AL 35801-4419
(256) 519-9000
(256) 519-9002
Mailing address
805 MADISON ST SE, SUITE 2-C, HUNTSVILLE, AL 35801-4419
(256) 519-9000
(256) 519-9002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1864
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11608140
CAQH
—
01
—
51519560
BCBS OF AL
AL
01
—
51521363
AMERICAN BEHAVIORAL
—
Enumeration date
03/15/2007
Last updated
07/08/2007
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