Individual
DR. TERRI MARY SICLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
43 MAPLE AVE, MORRISTOWN, NJ 07960-7508
(973) 993-1990
(973) 898-3745
Mailing address
43 MAPLE AVE, MORRISTOWN, NJ 07960-7508
(973) 993-1990
(973) 898-3745
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
15656
PA
103T00000X
Psychologist
Primary
3260
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50062844
CAPITAL BLUE CROSS
PA
01
—
806024
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/14/2007
Last updated
07/08/2007
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