Provider Demographics
NPI:1306868393
Name:STAMEY, NATALIE M (PSY D)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:STAMEY
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 HARTLEY RD
Mailing Address - Street 2:STE 201
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-6245
Mailing Address - Country:US
Mailing Address - Phone:907-292-0444
Mailing Address - Fax:904-292-1094
Practice Address - Street 1:2970 HARTLEY RD
Practice Address - Street 2:STE 201
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-6245
Practice Address - Country:US
Practice Address - Phone:907-292-0444
Practice Address - Fax:904-292-1094
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7116103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY7116OtherPSYCHOLOGIST LICENSE
FLPY7116OtherPSYCHOLOGIST LICENSE