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MRS. STACEY CUPKA RICKETTS NPI 1659554905


NPI Information

NPI: 1659554905
Provider Name: MRS. STACEY CUPKA RICKETTS
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
1110 SW SCOTT DR
ARCADIA, FL
ZIP 34266
Phone: (863) 494-5055
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MRS. Stacey Cupka Ricketts is an intellectual and developmental disabilities in Arcadia, FL. MRS. Stacey Cupka Ricketts NPI is 1659554905. 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:

1110 SW SCOTT DR
ARCADIA, FL
ZIP 34266-405
Phone: (863) 494-5055
Fax: (863) 494-5055

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/10/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.