NPI 1316018807 · live from the CMS NPI Registry
Stacey Ellen Adair, Ph.D.
Psychologist in Long Beach, CA. National Provider Identifier 1316018807, active.
NPI record
| NPI | 1316018807 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 4201 Long Beach Blvd, 230, Long Beach, CA 90807 |
| Practice phone | 562-988-1000 |
| Enumerated | November 13, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | PSY20048 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.