Stacy Vitale's National Provider Identifier (NPI) Details
Stacy Vitale, M.S. MFTI
NPI: 1316073133
Enumeration Date: 2007-02-26
Last updated: 2011-07-12
Sole Proprietor: YES
Status: active
Postal Address: 1126 N GRAND AVE, COVINA, CA
Phone: 626-967-1667
Primary Practice Address: 1307 N STANLEY AVE, LOS ANGELES, CA
Practice's phone: 626-831-2203