Organization
STACOM PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH STACOM PH.D. (PRESIDENT)
(650) 380-5465
Entity
Organization
Contact information
Practice address
407 ESSEX ST, MILLBURN, NJ 07041-1316
(650) 380-5465
Mailing address
23 PEASE AVE, VERONA, NJ 07044-1401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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