Stacy Hall Johnstone | Camarillo, CA • PECOS Search

Stacy Hall Johnstone

Psychologist

Behavioral Health & Social Service Providers

340 Rosewood Ave, Suite G, Camarillo, CA 93010-5927

PECOS Enrollment

Based on the most recent information from CMS, provider Stacy Hall Johnstone does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1114050507
Provider Type
Individual
Full Name
Johnstone, Stacy Hall
Title
Dr.
Credential
PSYCHOLOGIST

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/14/2007
Last Updated
7/8/2007

Contact Information

Practice Location

340 Rosewood Ave, Suite G, Camarillo, CA 93010-5927

(805) 987-7994

Mailing Location

340 Rosewood Ave, Suite G, Camarillo, CA 93010-5927

(805) 987-7994

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY20946 California