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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY LYNN STACY, M.ED. SP. ED.

Active Sole Proprietor

KIMBERLY LYNN STACY, M.ED. SP. ED. is a Developmental Therapist healthcare provider located in TANEYTOWN, Maryland. NPI 1649830506 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · TANEYTOWN, MD

Registration Details

NPI Number
1649830506
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2019 (7.1798034233734 yrs)
Last Updated
Jun 13, 2019
License
3889 (MD)
Sole Proprietor
Yes

Practice Information

Address
11 DUNKLE CT
TANEYTOWN, MD, 217872317
Browse MD providers · Browse ZIP 21787
Phone
3158776937
Primary Specialty
Developmental Therapist
222Q00000X
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.