Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LEE BLASE, PHD
Active Sole ProprietorSTACEY LEE BLASE, PHD is a Clinical Psychologist healthcare provider located in FAIRFIELD, Connecticut. NPI 1487918660 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FAIRFIELD, CT
Registration Details
- NPI Number
- 1487918660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2012 (14.113988777975 yrs)
- Last Updated
- Feb 6, 2022
- Licenses
-
021811 (NY)003696 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21 SHERMAN CTFAIRFIELD, CT, 068245825Browse CT providers · Browse ZIP 06824
- Phone
- 2035339496
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in FAIRFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| DR. MARK A EDINBERG | PH.D. | 1750374625 |
| DR. JOAN S. FRANKLIN | PSY.D. | 1215914155 |
| DR. LAWRENCE DONALD LUDWIG | PH.D | 1144244435 |
| DR. LINDA MICHLIN LUDWIG | PH.D | 1184727430 |
| DR. CHRISTINA J TAYLOR | PH.D. | 1376644211 |
| DR. CARY K GOODMAN | PH.D. | 1679668875 |
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.