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Contact Information

DEBRA STACKMAN, PHD
3801 MIRANDA AVENUE
VAPAHCS 116B
PALO ALTO, CA94304
 Phone: 650-493-5000
 Fax: 650-858-3948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DEBRA STACKMAN · (Female)

NPI Number 1104982198
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/28/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY15827
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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