Search › Connecticut › 103TC0700X
Stacey Blase, PHD
NPI 1487918660 · on the registry since 2012 · sole proprietor
Practice
- Address
- 21 Sherman Ct
Fairfield, CT 06824 - Phone
- (203) 533-9496
- Organisation at this address
- Jong Um Dds Inc
Jong Um Dds, Inc
Joseph Zerella Dmd, Mds, Llc
C&B Psychological Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 34 York St, Guilford, CT
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- NY, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut