Dr Shirley L Stack, PHD in Avila Beach, CA - Psychologist

Dr Shirley L Stack, PHD is a Psychologist - Clinical based in Avila Beach, California. Dr Shirley L Stack is licensed to practice in California (license number PSY14640) and her current practice location is 170 Village Crest, Avila Beach, California. She can be reached at her office (for appointments etc.) via phone at (805) 595-7936.

NPI number for Dr Shirley L Stack is 1366695447 and her current mailing address is Po Box 2442, Avila Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366695447.

Contact Information

	Dr Shirley L Stack, PHD
	170 Village Crest, Avila Beach, CA 93424-2442
	(805) 595-7936
	Not Available

Healthcare Provider's Profile

Full Name	Dr Shirley L Stack
Gender	Female
Speciality	Psychologist - Clinical
Location	170 Village Crest, Avila Beach, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1366695447
Provider Enumeration Date: 11/03/2008
Last Update Date: 11/03/2008

Medical Identifiers

Medical identifiers for Dr Shirley L Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366695447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY14640 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shirley L Stack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shirley L Stack, PHD Po Box 2442, Avila Beach, CA 93424-2442 Ph: (805) 595-7936	Dr Shirley L Stack, PHD 170 Village Crest, Avila Beach, CA 93424-2442 Ph: (805) 595-7936

News Archive

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Dr Shirley L Stack, PHD - Psychologist in Avila Beach, CA