Individual
DR. EILEEN WATERBURY STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
44 STATE HWY 23 NO, SUITE 3, RIVERDALE, NJ 07457-0003
(973) 831-1303
(973) 835-4629
Mailing address
PO BOX 3, RIVERDALE, NJ 07457-0003
(973) 831-1303
(973) 835-4629
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100395300
NY
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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