Individual provider · Type 1 NPI
Shirley L. Stack, PhD
Clinical Psychologist · Avila Beach, CA
Practice location
170 Village Crest
Avila Beach, CA 93424-2442
Mailing address
PO Box 2442
Avila Beach, CA 93424-2442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY14640 (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…
About NPI 1366695447
Shirley L. Stack, PhD's National Provider Identifier is 1366695447, issued on Nov 3, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Avila Beach, CA. The record was last updated on Nov 3, 2008.