| Doctor Name: | MICHELE E. STAYER |
| NPI Number: | 1124277033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W. CANDIDATE |
| License Number: | |
| Business Practice Address: | 28490 Avenue Stanford Santa Clarita, CA - 913550921 |
| Business Phone Number: | 6617026262 |
| Business Fax Number: | |
| Mailing Address: | 11504 E Buttercreek Rd, MOORPARK |
| State: | CA |
| Postal Code: | 930212409 |
| Phone Number: | 8053415420 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2008 |
| NPI Last Update Date: | 09/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |