Individual
DR. STACEY L NOVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
25 MAIN ST, SUITE 212, NORTHAMPTON, MA 01060-3109
(413) 587-7760
Mailing address
25 MAIN ST, SUITE 212, NORTHAMPTON, MA 01060-3109
(413) 586-0222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
8780
MA
Other
Enumeration date
12/18/2006
Last updated
12/12/2007
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