Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003138538 |
---|---|
Provider Name | Stacey Schecter |
First Address | Newark, DE 19702-5423 |
Second Address | Newark, DE 19702-5423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2010 |
Last Update Date | 01/07/2013 |