Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2953 | MA |
N | 103T00000X | Psychologist | 2953 | MA |
N | 103TA0700X | Adult Development & Aging Psychologist | 2953 | MA |
N | 103G00000X | Clinical Psychologist | 2953 | MA |
N | 103TC0700X | Clinical Psychologist | 2953 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2953 | MA |
N | 103TF0000X | Family Psychologist | 2953 | MA |
N | 103TH0100X | Health Service | 2953 | MA |
NPI | 1275530487 |
---|---|
Provider Name | Stefanie Meril Adams |
First Address | Hyannis, MA 02601-3778 |
Second Address | Hyannis, MA 02601-3778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 08/07/2007 |