Individual provider · Type 1 NPI

Stacey Marie Isrow, BS/PSYC, DT

Specialist · Crystal Lake, IL

NPI number 1649366063 Active

Practice location

1799 Kings Gate Ln
Crystal Lake, IL 60014-2906

Call (815) 276-7786 Map

Fax (815) 788-1321

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649366063

Stacey Marie Isrow, BS/PSYC, DT's National Provider Identifier is 1649366063, issued on Oct 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Crystal Lake, IL. The record was last updated on Jul 8, 2007.