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

Stacey Lee Blase, PHD

Individual provider Clinical Psychologist · NPI 1487918660

Stacey Lee Blase, PHD is a Clinical Psychologist in Fairfield, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2012
Specialties on file
2
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

21 Sherman Ct
Fairfield, CT 06824-5825
Phone: (203) 533-9496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34 York St, Guilford, CT 06437-2473 — (203) 533-9496

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 003696 (CT)
Clinical Psychologist Taxonomy 103TC0700X · Licence 021811 (NY)

Record details

NPI number1487918660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 2, 2012
Last updated in NPPESFebruary 6, 2022
Certification dateFebruary 6, 2022
Mailing address21 Sherman Ct, Fairfield, CT 06824-5825

Other providers in Fairfield