DR. SHERIN SUE STAHL


Address: 7 Tucker Meadow Rd, Woodbridge, CT 06525-1943
Phone: 2036711547

DR. SHERIN SUE STAHL (NPI# 1649534215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649534215
Entity Type Individual
Full Name DR. SHERIN SUE STAHL
Credential PH.D.
Practice Address 7 Tucker Meadow Rd
Woodbridge
CT 06525-1943
Practice Telephone 2036711547
Practice Fax Number 2037649110
Mailing Telephone 2036711547
Mailing Fax Number 2037649110
Enumeration Date 2012-06-28
Last Update Date 2012-06-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
002643 CT Behavioral Health & Social Service Providers

Office Location

Street Address 7 TUCKER MEADOW RD
City WOODBRIDGE
State CT
Zip Code 06525-1943

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1154666063 Julie M Charron Physical Therapy Assistant 5 Spring Valley Rd, Woodbridge, CT 06525 2012-12-04
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1629383906 Innovative Healthcare Exclusive Provider Organization 555 Amity Rd., Woodbridge, CT 06525 2010-08-11
1437300225 Carl B. Lundborg Orthopaedic Surgery 4 Fox Hill Rd, Woodbridge, CT 06525 2008-10-10
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1194333823 Brian Joseph Lussier Psychologist 15 Preston Rd, Terryville, CT 06786-4209 2020-07-20
1407403934 Educational Advancement Associates Psychologist 15 Schoolhouse Lndg, East Granby, CT 06026-2601 2019-08-20
1053770982 Lori Attanasio Woodring Psychologist 7 Sylvan Ln, Old Greenwich, CT 06870-2318 2016-02-20
1831562255 Carlene Davidson Psychologist 300 Hebron Ave Ste 217, Glastonbury, CT 06033-2192 2015-11-06
1912387606 Kathryn Hagen Psychologist 86 John St Apt C, New Britain, CT 06051-2762 2015-06-08
1376947937 Nicholas Gelbar Psychologist 222 Warrenville Rd, Mansfield Center, CT 06250-1128 2014-10-10
1710320049 David Gallaway Psychologist 238 Ratlum Rd, New Hartford, CT 06057-2318 2013-04-17
1992056675 New Connection Inc Psychologist 446 Blake St # 200a, New Haven, CT 06515-1286 2012-09-21
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Competitor

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City WOODBRIDGE
Zip Code 06525

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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