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General NPI Number Information
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NPI Number | 1700142767
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Entity Type | Individual
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Provider Name | STACEY KRAUSS PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 21021 SPRING BROOK PLAZA DR STE 200
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City | SPRING
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State | TX
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Zip | 77379-5339
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Country | US
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Telephone | 713-997-3776
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Fax | 480-247-4179
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Provider Business Mailing Address
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Address Line | 7155 W CAMPO BELLO DR STE C120
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City | GLENDALE
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State | AZ
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Zip | 85308-8594
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Country | US
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Telephone | 602-363-0629
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 40524
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-005397
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License Number State | AZ
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