Individual provider · Type 1 NPI

Mardi Stacy, PhD

Clinical Psychologist · Boise, ID

NPI number 1417025974 Active

Practice location

1718 W Jefferson St
Boise, ID 83702-3949

Fax (208) 424-8137

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY-429 (ID)

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 1417025974

Mardi Stacy, PhD's National Provider Identifier is 1417025974, issued on Dec 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.