| Stacom Psychological Services | |
|
407 Essex St Millburn NJ 07041-1316 | |
| (650) 380-5465 | |
| Not Available |
| Full Name | Stacom Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 407 Essex St, Millburn, New Jersey |
| Authorized Official Name and Position | Elizabeth Stacom (PRESIDENT) |
| Authorized Official Contact | 6503805465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacom Psychological Services 23 Pease Ave Verona NJ 07044-1401 Ph: () - | Stacom Psychological Services 407 Essex St Millburn NJ 07041-1316 Ph: (650) 380-5465 |
| NPI Number | 1205426715 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205426715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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