MEDICARE: DR. JANICE STEFANACCI SEWARD PSY.D.

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
1	103TC0700X	Clinical Psychologist	010396	NY
2	103TC0700X	Clinical Psychologist	9129	MA

General Provider Information

NPI Number	:	1689035388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE STEFANACCI SEWARD PSY.D.

Provider Business Mailing Address
First Line	:	9 BERKSHIRE HEIGHTS RD
Second Line	:
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-1528
Country	:	US
Telephone Number	:	413-429-1240
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 BERKSHIRE HEIGHTS RD
Second Line	:
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-1528
Country	:	US
Telephone Number	:	413-429-1240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	03/09/2016

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