STACY LEIGH THACKER PHD NPI 1407808231

NPI Information

  • NPI: 1407808231
  • Provider Name: STACY LEIGH THACKER, PHD
  • Classification: Psychologist - 103TF0200X
  • Specialization: Forensic
  • Entity Type: Individual
  • Address: 10333 EL CAMINO REAL
    ATASCADERO, CA
    ZIP 93423
  • Phone: (805) 468-2000

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NPI Details

Stacy Leigh Thacker, PHD is a forensic psychologist in Atascadero, CA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. Stacy Leigh Thacker, PHD NPI is 1407808231. 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:

10333 EL CAMINO REAL
ATASCADERO, CA
ZIP 93423-001
Phone: (805) 468-2000
Fax: (805) 466-6011

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/8/2007.

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
1103TF0200XPsychologistForensicPSY16323GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10PL163230MEDICARE ID-TYPE UNSPECIFIED

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: 3/30/2025

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