Provider Demographics
NPI:1609389451
Name:LAMORGESE, STACY E (PSY D)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:E
Last Name:LAMORGESE
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 1:3129 E BLUE SAGE CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-6001
Mailing Address - Country:US
Mailing Address - Phone:480-235-9557
Mailing Address - Fax:480-507-8013
Practice Address - Street 1:4115 E VALLEY AUTO DR STE 208
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4612
Practice Address - Country:US
Practice Address - Phone:480-507-7880
Practice Address - Fax:480-507-8013
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4910103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist