Individual
DR. TRACI R. STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH
Contact information
Practice address
2 TREFOIL PASS, WEST ORANGE, NJ 07052-4972
(201) 978-3178
Mailing address
2 TREFOIL PASS, WEST ORANGE, NJ 07052-4972
(201) 978-3178
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
018874
NY
103TC0700X
Clinical Psychologist
Primary
018874
NY
103TH0004X
Health Psychologist
018874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437453149
NPI
NY
Enumeration date
07/10/2009
Last updated
01/27/2022
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