| Doctor Name: | SHEILA MARILYN STATLENDER |
| NPI Number: | 1104042241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 3878 |
| Business Practice Address: | 53 Langley Rd Suite 330c Newton Centre, MA - 024591913 |
| Business Phone Number: | 6179652329 |
| Business Fax Number: | 5083703926 |
| Mailing Address: | 22 Lantern Rd, FRAMINGHAM |
| State: | MA |
| Postal Code: | 017025538 |
| Phone Number: | 6179652329 |
| Fax Number: | 5083703926 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 08/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |