Stacie N Petitgout
Stacie N Petitgout is a Psychologist in Cuba, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
652 E Main StCuba, IL 61427-5211
Phone: (309) 785-8054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|
Record details
| NPI number | 1598280133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 4, 2017 |
| Last updated in NPPES | July 21, 2022 |