Organization Name: | STANLEY SPERGEL PA |
NPI Number: | 1356549448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STANLEY M. SPERGEL (PSYCHOLOGIST) |
Mailing Address: | 28 Mill Road Ext Woodcliff Lake |
State: | NJ US |
Postal Code: | 076778142 |
Phone Number: | 2013918778 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |