person
Dr. Stacey M Rodgers, PSYD
Clinical Psychologist in San Rafael, California
NPI 1447471891

Stacey M Rodgers is a Clinical Psychologist based in San Anselmo, CA and is specialized in Clinical. Stacey M Rodgers practices in San Rafael, CA and has the professional credentials of PSYD. The NPI Number for Stacey M Rodgers is 1447471891 and holds a License No. PSY20102 (California).

The current practice location address for Stacey M Rodgers is 1330 Lincoln Ave Ste 108-B, San Rafael, CA and can be reached out via phone at 415-454-1605.

Location: 1330 Lincoln Ave Ste 108-B, San Rafael, CA, 94960-2208
person
Provider Profile Details
NPI Number
1447471891
Provider Name
Stacey M Rodgers
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1330 Lincoln Ave Ste 108-B, San Rafael, CA, 94960-2208
Phone Number
415-454-1605
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPL201020 01 CA BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
1330 Lincoln Ave Ste 108-B
City
State
Zip
94901-2141
Phone Number
415-454-1605
Fax Number
person
Provider Business Mailing Address Details
Address
1330 Lincoln Ave Ste 108-B
City
State
Zip
94901-2141
Phone Number
415-454-1605
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
PSY20102 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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