| NPI | 1861527798 |
|---|---|
| Other Name | STACEY LYN CHARRON GILLESPIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 12333) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |