Doctor Name: | DR. STEPHEN JOHN HARAN |
NPI Number: | 1073815924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | TP#073-773 |
Business Practice Address: | 655 E Jersey St Elizabeth, NJ - 072061259 |
Business Phone Number: | 9089947137 |
Business Fax Number: | 9089947354 |
Mailing Address: | 10 Landing Ln Apt 5b, NEW BRUNSWICK |
State: | NJ |
Postal Code: | 089011038 |
Phone Number: | 9089947137 |
Fax Number: | 9089947354 |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 11/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0200X |
License Number: | TP#073-773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Forensic |
Taxonomy Definition: |