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NPI Code Detail

MEDICARE: DR. STEPHANIE J NURENBERG LICSW; PHD

MEDICARE:  DR. STEPHANIE J NURENBERG  LICSW; PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker101512MA

General Provider Information

NPI Number : 1396706826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE J NURENBERG LICSW; PHD
Provider Business Mailing Address
First Line : 289 SOUTH ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-4111
Country : US
Telephone Number : 413-586-3350
Fax Number :
Provider Business Practice Location Address
First Line : 289 SOUTH ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-4111
Country : US
Telephone Number : 413-586-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEPHANIE J NURENBERG LICSW; PHD” Practice Location

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