Stacia Leigh Anderson, ED.S
Individual provider Active NPI School Psychologist · Graham, NC
NPI 1275405136 · NPPES record last updated Sep 20, 2025
Key facts
- NPI
- 1275405136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1263257 (NC)
- Practice address
- 155 Granite Mill Dr Apt 208
Graham, NC 27253-3277 - Phone
- (919) 501-3577
- NPI assigned
- Sep 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1263257 | NC | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1263257 | NC | Yes |
Addresses
Primary practice location
155 Granite Mill Dr Apt 208
Graham, NC 27253-3277
Mailing address
155 Granite Mill Dr Apt 208
Graham, NC 27253-3277
Phone (919) 501-3577
Other providers in Graham, NC
- Alafia Counseling and Consulting PLLC
- Alamance Community College
- Alamance County Govt
- Alycia M Brown, MD PA
- Charity Amenya
- Armc Physicians Care, Inc.
- Armc Physicians Care, Inc.
- Alyssa Ashworth
- Atlantic Family Services LLC
- Avenue Therapy Services
All providers in Graham, NC · School Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.