STACEY MARIE ISROW BS/PSYC, DT - NPI 1649366063 - Specialist in Crystal Lake, IL

Q: What is Stacey Isrow's NPI number?

The NPI number for Stacey Isrow is 1649366063. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Stacey Isrow's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Isrow was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stacey Marie Isrow Bs/psyc, Dt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY MARIE ISROW BS/PSYC, DT (NPI 1649366063) is an individual specialist in Crystal Lake, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1649366063

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSTACEY MARIE ISROWCredential: BS/PSYC, DT

Location Address1799 KINGS GATE LNCrystal Lake, IL 60014-2906

Mailing Address1799 Kings Gate LnCrystal Lake, IL 60014-2906 · (815) 276-7786 · Fax (815) 788-1321

Phone(815) 276-7786

Fax(815) 788-1321

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649366063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1799 KINGS GATE LN, Crystal Lake, IL 60014

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