Individual provider · Type 1 NPI

Debra Stackman, PhD

Clinical Psychologist · Palo Alto, CA

NPI number 1104982198 Active

Practice location

3801 Miranda Avenue, Vapahcs 116B
Palo Alto, CA 94304

Call (650) 493-5000 Map

Fax (650) 858-3948

Mailing address

Vapahcs, 3801 Miranda Avenue, (116B)
Palo Alto, CA 94304

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY15827 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104982198

Debra Stackman, PhD's National Provider Identifier is 1104982198, issued on Dec 28, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 9, 2007.