| Organization Name: | DR STACEY A HANCOCK LLC |
| NPI Number: | 1083948533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACEY A HANCOCK (PRESIDENT) |
| Mailing Address: | 11925 Pearl Rd Suite 102a Strongsville |
| State: | OH US |
| Postal Code: | 441363353 |
| Phone Number: | 4405545661 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2009 |
| NPI Last Update Date: | 09/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6098 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |