Provider Demographics
NPI:1922127646
Name:PRINGLE, STACEY M (MA)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:M
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 FIELDCREST DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3343
Mailing Address - Country:US
Mailing Address - Phone:334-356-8239
Mailing Address - Fax:
Practice Address - Street 1:4520 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE B-100
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1619
Practice Address - Country:US
Practice Address - Phone:334-270-0983
Practice Address - Fax:334-270-1187
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional