Provider Demographics
NPI:1700573672
Name:STAGNARO, CLAIRE (PSYD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:STAGNARO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4148
Mailing Address - Country:US
Mailing Address - Phone:760-566-5197
Mailing Address - Fax:
Practice Address - Street 1:333 HORIZON DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4148
Practice Address - Country:US
Practice Address - Phone:760-566-5197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34133103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist