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NPI 1114941960

NPI 1114941960 : SHERRI ELLIOTT STOVER PSY.D. : SUCCASUNNA, NJ

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General NPI Number Information
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    NPI Number           |    1114941960
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    Entity Type          |    Individual 
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    Provider Name        |    SHERRI ELLIOTT STOVER PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    66 SUNSET STRIP SUITE 400
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    City                 |    SUCCASUNNA
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    State                |    NJ
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    Zip                  |    07876-1345
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    Country              |    US
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    Telephone            |    908-713-8210
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5 BERRYWOOD LN 
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    City                 |    HIGH BRIDGE
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    State                |    NJ
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    Zip                  |    08829-2415
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    Country              |    US
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    Telephone            |    908-713-8210
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    3063
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    License Number State |    NJ
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