Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANEEN DIANE STACER, PHD
ActiveDR. SHANEEN DIANE STACER, PHD is a Clinical Psychologist healthcare provider located in COOS BAY, Oregon. NPI 1427485440 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · COOS BAY, OR
Registration Details
- NPI Number
- 1427485440
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2013 (12.716682771251 yrs)
- Last Updated
- Sep 8, 2016
- Licenses
-
3079-57 (WI)3079-57 (WI)3079-57 (WI)3079-57 (WI)3079-57 (WI)
Practice Information
- Address
-
1900 WOODLAND DRCOOS BAY, OR, 974202045Browse OR providers · Browse ZIP 97420
- Phone
- 5412675151
- Fax
- 5412664554
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
Other Clinical Psychologist Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| DR. GAIL LOREE WAHL | PH.D. | 1184750721 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.