Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stacey Nelson Clemenceau, PHD

Individual provider Clinical Psychologist · NPI 1265594113

Dr. Stacey Nelson Clemenceau, PHD is a Clinical Psychologist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

820 Las Gallinas Ave
San Rafael, CA 94903-3410
Phone: (415) 444-3522
Fax: (415) 444-3019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY16162 (CA)

Record details

NPI number1265594113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESFebruary 11, 2022
Mailing address820 Las Gallinas Ave, San Rafael, CA 94903-3410

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