Doctor Name: | DR. MARY ELLEN M STIEHL |
NPI Number: | 1366564601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA EDS PHD |
License Number: | 001428 |
Business Practice Address: | 175 E Crescent Ave Allendale, NJ - 07401 |
Business Phone Number: | 2017600795 |
Business Fax Number: | 2017601081 |
Mailing Address: | 175 E Crescent Ave, ALLENDALE |
State: | NJ |
Postal Code: | 07401 |
Phone Number: | 2017600795 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 08/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 001428 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |