Deborah J Stack (NPI# 1023195864, PAC ID# 6305035767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1023195864 |
| PAC ID by PECOS | 6305035767 |
| Professional Enrollment ID | I20110115000086 |
| Full Name | Deborah J Stack |
| Address |
682 Prospect Ave Hartford CT 06105-4238 |
| Phone Number | 8602586065 |
| Gender | F |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 682 Prospect Ave, Hartford, CT 06105-4238 | 8602586065 |
| Street Address |
682 PROSPECT AVE |
| City | HARTFORD |
| State | CT |
| Zip | 06105-4238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Nash Woodward | Clinical Social Worker | 682 Prospect Ave, Hartford, CT 06105-4238 | |
| Myrta I Soto | Clinical Social Worker | 682 Prospect Ave, Hartford, CT 06105-4238 | |
| Jane M Vallee | Clinical Social Worker | 682 Prospect Ave, Hartford, CT 06105-4238 | |
| Thelissa Annette Harris | Psychiatry | 682 Prospect Ave, Rear 11, Hartford, CT 06105-4244 | |
| William F Webster | Clinical Social Worker | 682 Prospect Ave, Hartford, CT 06105-4238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole K Cahalan | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Robin Beth Gold | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Thomas J Mclarney | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Robert Allerton Cushman | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Smriti Ohri | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Thomas P Agresta | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Henry M Feder | Pediatric Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Hugh Blumenfeld | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Jacqueline N Guajardo | Psychologist, Clinical | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Charlene C Li | Family Medicine | Asylum Hill Family Medicine Center, Inc. | 99 Woodland St, Hartford, CT 06105-1207 |
| Find all physicians in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | HARTFORD + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Deborah J Stack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.