Dr. Shaneen Diane Stacer
Psychologist Health Service Health Psychologist Clinical Psychologist and 5 more
1900 Woodland Dr
Coos Bay
, Oregon 97420-2045
Dr. Shaneen Diane Stacer
Psychologist Health Service Health Psychologist Clinical Psychologist and 5 more
1900 Woodland Dr
Coos Bay
, Oregon 97420-2045
(541) 266-4554
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Health Psychologist
- Health Service
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Shaneen Diane Stacer
- 1900 Woodland Dr
- Coos Bay, OR
- Zip : 97420-2045
- Fax : (541) 266-4554
- Phone : (541) 267-5151
Second Address
- Dr. Shaneen Diane Stacer
- 1900 Woodland Dr
- Coos Bay, OR
- Zip : 97420-2045
- Fax : (541) 266-4554
- Phone : (541) 267-5151
Reviews
FAQs
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Is Dr. Shaneen Diane Stacer a sole practitioner?
Is Dr. Shaneen Diane Stacer accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 3079-57 | WI |
| N | 103T00000X | Psychologist | 3079-57 | WI |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 3079-57 | WI |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 3079-57 | WI |
| Y | 103G00000X | Clinical Psychologist | 2500 | OR |
| Y | 103TC0700X | Clinical Psychologist | 2500 | OR |
| N | 103G00000X | Clinical Psychologist | 3079-57 | WI |
| N | 103TC0700X | Clinical Psychologist | 3079-57 | WI |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3079-57 | WI |
| N | 103TH0004X | Health Psychologist | 3079-57 | WI |
| N | 103TH0100X | Health Service | 3079-57 | WI |
| N | 103TP2701X | Group Psychotherapist | 3079-57 | WI |
National Provider Identifier
| NPI | 1427485440 |
|---|---|
| Provider Name | Dr. Shaneen Diane Stacer |
| First Address | Coos Bay, OR 97420-2045 |
| Second Address | Coos Bay, OR 97420-2045 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2013 |
| Last Update Date | 08/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1407812365 | NORTH BEND MEDICAL CENTER GROUP NPI (01) | OR |
| 161133 | NORTH BEND MEDICAL CENTER GROUP MEDICAID (01) | OR |
| 500684206 | (05) | OR |
| R0000WFBTV | NORTH BEND MEDICAL CENTER GROUP MEDICARE (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.