Individual
STACY R ULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
154 DANBURY RD, WILTON, CT 06897-4437
(516) 946-9591
(908) 273-3355
Mailing address
154 DANBURY RD, WILTON, CT 06897-4437
(516) 946-9591
(908) 273-3355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002925
CT
103T00000X
Psychologist
015148
NY
103T00000X
Psychologist
Primary
4291
NJ
Other
Enumeration date
10/11/2006
Last updated
06/04/2009
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