| Stanley Spergel Pa | |
|
28 Mill Road Ext Woodcliff Lake NJ 07677-8142 | |
| (201) 391-8778 | |
| Not Available |
| Full Name | Stanley Spergel Pa |
|---|---|
| Speciality | Psychologist |
| Location | 28 Mill Road Ext, Woodcliff Lake, New Jersey |
| Authorized Official Name and Position | Stanley M. Spergel (PSYCHOLOGIST) |
| Authorized Official Contact | 2013918778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Spergel Pa 28 Mill Road Ext Woodcliff Lake NJ 07677-8142 Ph: () - | Stanley Spergel Pa 28 Mill Road Ext Woodcliff Lake NJ 07677-8142 Ph: (201) 391-8778 |
| NPI Number | 1356549448 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 5496855637 |
|---|---|
| Medicare Enrollment ID | O20070717000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356549448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1580 (New Jersey) | Primary |
| Provider Name | Stanley M Spergel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932242443 PECOS PAC ID: 3375640691 Enrollment ID: I20070522000364 |
| Provider Name | Dominika Lieberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336812734 PECOS PAC ID: 2365846649 Enrollment ID: I20210809002321 |
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