| Doctor Name: | MS. ELEANOR MARIE STUCKER |
| NPI Number: | 1003933938 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC00604000 |
| Business Practice Address: | 316 Prospect Ave Apt 6a Hackensack, NJ - 076012526 |
| Business Phone Number: | 2015251167 |
| Business Fax Number: | 2015251168 |
| Mailing Address: | 316 Prospect Ave Apt 6a, HACKENSACK |
| State: | NJ |
| Postal Code: | 076012526 |
| Phone Number: | 2015251167 |
| Fax Number: | 2015251168 |
| NPI Enumeration Date: | 03/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SC00604000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |