STACEY L BLASE (Credential# 1440885) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STACEY L BLASE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.003696. The credential type is psychologist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 20 Bailey St, Trumbull, CT 06611-4302. The current status is active.
| Licensee Name | STACEY L BLASE |
| Credential ID | 1440885 |
| Credential Number | 8.003696 |
| Credential Type | Psychologist |
| Business Address |
20 Bailey St Trumbull CT 06611-4302 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-16 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1490596 | 1.058698-RES | Resident Physician | 2012-07-24 | 2012-07-24 - 2018-06-30 | INACTIVE |
| Street Address | 20 BAILEY ST |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4302 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark J Celano | 20 Bailey St, Trumbull, CT 06611-4302 | Psychologist | 2020-04-01 ~ 2021-03-31 |
| Robert Mark Larsen · Facelifters | 20 Bailey St, Trumbull, CT 06611 | Home Improvement Salesperson | ~ 1992-03-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Hellthaler | 4 Bailey St, Trumbull, CT 06611-4302 | Controlled Substance Registration for Practitioner | 2019-08-01 ~ 2021-02-28 |
| Joseph Rousso | 28 Bailey St, Trumbull, CT 06611-4302 | Emergency Medical Technician | 2018-03-09 ~ 2021-04-01 |
| Jenna R Rousso | 28 Bailey St, Trumbull, CT 06611-4302 | Athletic Trainer | 2020-04-01 ~ 2021-03-31 |
| Peter J Rousso | 28 Bailey St, Trumbull, CT 06611-4302 | Emergency Medical Responder | 2016-06-01 ~ 2018-12-31 |
| Chayse Cathryn Hellthaler | 4 Bailey St, Trumbull, CT 06611-4302 | Controlled Substance Registration for Practitioner | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Psychologist |
| License Type + County | Psychologist + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey S Nye | 10404 N. Riverview, Meqvon, WI 53092 | Psychologist | 1995-04-21 ~ 1996-04-30 |
| Stacey A. Field | 373 Charter Oak Rd, Southbury, CT 06488-1271 | Psychologist | 2017-12-01 ~ 2018-09-30 |
| Stacey G Warren | 26 Fredric Ln, Mansfield, MA 02048-3307 | Psychologist | 2013-06-01 ~ 2014-05-31 |
| Stacey R Aronson | 5 Wisteria Ln, Westport, CT 06880-2208 | Psychologist | 2020-04-01 ~ 2021-03-31 |
| Stacey M Mchenry | 109 Aspen Dr, South Glastonbury, CT 06073-2940 | Psychologist | 2019-09-01 ~ 2020-08-31 |
| Stacey R Friedman | 285 Quincy Pl, Feasterville Trevose, PA 19053-1504 | Psychologist | 2018-05-01 ~ 2019-04-30 |
| Stacey L Spencer | 45 Tudor City Place, #410, New York, NY 10017 | Psychologist | 2007-01-02 ~ 2008-01-31 |
| Stacey M Lambert | 1135 Adams Street, Hollywood, FL 33019 | Psychologist | 1999-09-08 ~ 2000-07-31 |
| Stacey L Salant | 1604 Hilltop West Executive Center, Virginia Beach, VA 23451 | Psychologist | 2020-02-01 ~ 2021-01-31 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on STACEY L BLASE.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).