NPI 1013595453

Stephanie Renee Stacy

Practitioner Peer Specialist Pryor, OK

Practice location

Address: 109 N Fairland St, Pryor, OK 74361-4205
Phone: (918) 273-1841

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oklahoma →

Registry record

NPI: 1013595453
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2021
Record last updated: 29 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.