Individual
DR. STACIE SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
111 QUIMBY ST STE 6, WESTFIELD, NJ 07090-5106
(973) 630-8702
Mailing address
111 QUIMBY ST STE 6, WESTFIELD, NJ 07090-5106
(973) 630-8702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00583600
NJ
103TC0700X
Clinical Psychologist
153-065
NJ
Other
Enumeration date
12/27/2016
Last updated
02/16/2024
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