STACEY NELSON CLEMENCEAU

SAN RAFAEL, CA
NPI1265594113
Former NameSTACEY NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY16162)
Enumeration Date2006-12-15
Last Update Date2022-02-11
Business Address
Dr. STACEY NELSON CLEMENCEAU Ph.D.
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-3410
Phone number: 415-444-3522
Mailing Address
Dr. STACEY NELSON CLEMENCEAU Ph.D.
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-3410
Phone number: 415-444-3522