Individual provider · Type 1 NPI

Stacey Smoot Owen, PhD

Clinical Psychologist · Macon, GA

NPI number 1174679062 Active

Practice location

5398 Thomaston Rd, Suite B
Macon, GA 31220-8110

Fax (478) 476-8161

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY003006 (GA)

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 1174679062

Stacey Smoot Owen, PhD's National Provider Identifier is 1174679062, issued on Jan 25, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Macon, GA. The record was last updated on Jul 8, 2007.