Stacey Lee Blase, PHD - Psychologist in Fairfield, CT

Stacey Lee Blase, PHD is a Psychologist - Clinical based in Fairfield, Connecticut. Stacey Lee Blase is licensed to practice in Connecticut (license number 003696) and her current practice location is 21 Sherman Ct, Fairfield, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 533-9496.

NPI number for Stacey Lee Blase is 1487918660 and her current mailing address is 21 Sherman Ct, Fairfield, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487918660.

Contact Information

Stacey Lee Blase, PHD
21 Sherman Ct,
Fairfield, CT 06824-5825
(203) 533-9496
Not Available



Healthcare Provider's Profile

Full NameStacey Lee Blase
GenderFemale
SpecialityPsychologist - Clinical
Location21 Sherman Ct, Fairfield, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487918660
  • Provider Enumeration Date: 07/02/2012
  • Last Update Date: 02/06/2022

Medical Identifiers

Medical identifiers for Stacey Lee Blase such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487918660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 021811 (New York)Secondary
103TC0700XPsychologist - Clinical 003696 (Connecticut)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. Stacey Lee Blase 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 AddressPractice Location Address
Stacey Lee Blase, PHD
21 Sherman Ct,
Fairfield, CT 06824-5825

Ph: (203) 533-9496
Stacey Lee Blase, PHD
21 Sherman Ct,
Fairfield, CT 06824-5825

Ph: (203) 533-9496

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› Verified 8 days ago


Psychologist in Fairfield, CT

Dr. Jennifer Rachel Pleasure, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1492 Unquowa Rd, Fairfield, CT 06824
Phone: 202-253-4475    
Dr. Kim L Feinstein, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1088 Black Rock Tpke, Fairfield, CT 06825
Phone: 203-368-9084    Fax: 203-334-4647
Dr. Matthew Love, PSY.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 140 Sherman St Fl 5, Fairfield, CT 06824
Phone: 203-293-6081    
Dr. Whitney Buckley, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2505 Black Rock Tpke Ste 2, Fairfield, CT 06825
Phone: 203-521-4608    
Dr. Katherine Bothos, PSY.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 170 Post Rd, Suite 208, Fairfield, CT 06824
Phone: 203-445-3736    
Dr. Lawrence Donald Ludwig, PH.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 75 Hillside Rd, Fairfield, CT 06824
Phone: 203-256-9788    Fax: 203-374-7720
Dr. James Saluk, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1700 Post Rd Ste C18, Fairfield, CT 06824
Phone: 203-259-4048    Fax: 203-551-7643

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