STACY LEIGH THACKER

ATASCADERO, CA
NPI1407808231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TF0200X Psychologist, Forensic
(Licence: GA  PSY16323)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
-- STACY LEIGH THACKER PhD
10333 EL CAMINO REAL
ATASCADERO, CA 93423-7001
Phone number: 805-468-2000
Mailing Address
-- STACY LEIGH THACKER PhD
1600 9TH ST ROOM 205 MAILSTOP 2-3
SACRAMENTO, CA 95814-6414
Phone number: 916-654-2431
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