| Doctor Name: | DR. STACY LYNN CARMICHAEL |
| NPI Number: | 1487858403 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 20042187A |
| Business Practice Address: | 12271 Us Highway 301 N Parrish, FL - 342198410 |
| Business Phone Number: | 9417764000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 997, PALMETTO |
| State: | FL |
| Postal Code: | 342200997 |
| Phone Number: | 9417764000 |
| Fax Number: | 9417764013 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 20042187A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |