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General NPI Number Information
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NPI Number | 1881820306
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Entity Type | Individual
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Provider Name | STACEY TOUHY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 701 HOSPITAL LOOP
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City | FAIRCHILD AIR FORCE BASE
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State | WA
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Zip | 99011
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Country | US
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Telephone | 509-247-2731
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Fax |
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Provider Business Mailing Address
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Address Line | 2052 N LARK PL
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City | MERIDIAN
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State | ID
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Zip | 83646-3326
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Country | US
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Telephone | 805-267-6718
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Fax | 805-850-7115
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY27092
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License Number State | CA
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