| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STACEY BOUFFARD | 1972323178 | 2024-10-12 |
Stacey Bouffard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972323178. Registration indicates Stacey Bouffard is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
| Entity Type | Individual |
| Provider Name | Dr. Stacey Bouffard PH.D. |
| Practice Office Address | 412 E 4TH ST TUCSON, AZ US |
| Practice Office Telephone | 5203602270 |
| Mailing Address | 412 E 4TH ST TUCSON, AZ 857057804 US |
| Business Telephone | 5203602270 |
| Code | Practice | License No State |
|---|---|---|
| 103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | PSY-005788
AZ |