National Provider Identifier

Stacey L Mooney, SP.ED.TEACHER

Stacey L Mooney, SP.ED.TEACHER is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 223-5090.

NPI 1801150545Fairport, NYSpecialist

Profile Overview

NPI
1801150545
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012

Practice Location

  • 6800 Pittsford Palmyra RD
  • Fairport, NY 14450-3584

Phone: (585) 223-5090

Specialties

  • Specialist (174400000X)
Full Record
NPI
1801150545
Entity Type
Individual
Last Name
Mooney
First Name
Stacey
Middle Name
L
Credential
SP.ED.TEACHER
Mailing Street Address
6800 Pittsford Palmyra RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3584
Mailing Country
US
Mailing Phone
(585) 223-5090
Practice Street Address
6800 Pittsford Palmyra RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3584
Practice Country
US
Practice Phone
(585) 223-5090
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)