STACY MELISSA ISHACK NPI 1124786546

NPI Information

NPI: 1124786546
Provider Name: STACY MELISSA ISHACK
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
475 CLINTON AVE
BRIDGEPORT, CT
ZIP 06605
Phone: (203) 368-5500
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Stacy Melissa Ishack is a professional counselor in Bridgeport, CT. Stacy Melissa Ishack NPI is 1124786546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

475 CLINTON AVE
BRIDGEPORT, CT
ZIP 06605-700
Phone: (203) 368-5500

The enumeration date for this NPI number is 12/2/2021 and was last updated on 12/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	5029	CONNECTICUT	No
2	101YP2500X	Counselor	Professional	5029	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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