IndividualActive
Stacie Petitgout
NPI 1598280133 · Psychologist · Cuba, IL
Provider details
- NPI number
- 1598280133
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
652 E Main St
Cuba, IL 61427-5211
Phone: (309) 785-8054
Approximate (ZIP-level) locationGet directions
Mailing address
652 E Main St
Cuba, IL 61427-5211
Registry dates
- Enumerated
- 2017-08-04
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.