Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE N PETITGOUT
ActiveSTACIE N PETITGOUT is a Psychologist healthcare provider located in CUBA, Illinois. NPI 1598280133 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CUBA, IL
Registration Details
- NPI Number
- 1598280133
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2017 (9.0232791645358 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
652 E MAIN STCUBA, IL, 614275211Browse IL providers · Browse ZIP 61427
- Phone
- 3097858054
- Primary Specialty
-
Psychologist
103T00000X
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.