National Provider Identifier
Stacey L Shipe, PHD
Stacey L Shipe, PHD is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (327) 471-6339.
Profile Overview
- NPI
- 1164266417
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- June 21, 2024
- Last Updated
- June 21, 2024
Practice Location
- 16 Cinema Dr
- Ithaca, NY 14850-1674
Phone: (327) 471-6339
Mailing Address
- 220 Sheffield RD
- Ithaca, NY 14850-8910
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1164266417
- Entity Type
- Individual
- Last Name
- Shipe
- First Name
- Stacey
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 220 Sheffield RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8910
- Mailing Country
- US
- Mailing Phone
- (347) 731-6065
- Practice Street Address
- 16 Cinema Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1674
- Practice Country
- US
- Practice Phone
- (327) 471-6339
- Enumeration Date
- June 21, 2024
- Last Updated
- June 21, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)