| Dr Shirley L Stack, PHD | |
|
170 Village Crest, Avila Beach, CA 93424-2442 | |
| (805) 595-7936 | |
| Not Available |
| Full Name | Dr Shirley L Stack |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 170 Village Crest, Avila Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366695447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY14640 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shirley L Stack, PHD Po Box 2442, Avila Beach, CA 93424-2442 Ph: (805) 595-7936 | Dr Shirley L Stack, PHD 170 Village Crest, Avila Beach, CA 93424-2442 Ph: (805) 595-7936 |
Dr. Erich Rueschenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6215 Playa Vista Place, Avila Beach, CA 93424 Phone: 805-595-7037 | |
Dr. Nancy G. Rueschenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2386 Playa Vista Place, Avila Beach, CA 93424 Phone: 805-595-7037 Fax: 805-595-2703 |