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NPI Code Detail

MEDICARE: DR. JOSHUA DAVID ACOCELLA-STOLLERMAN PSY.D.

MEDICARE:  DR. JOSHUA DAVID ACOCELLA-STOLLERMAN  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
1103T00000XPsychologist003164CT

General Provider Information

NPI Number : 1043515356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA DAVID ACOCELLA-STOLLERMAN PSY.D.
Provider Business Mailing Address
First Line : 140 RIVER RD
Second Line :
City : EAST HADDAM
State : CT
Zip : 06423-1403
Country : US
Telephone Number : 860-873-2700
Fax Number : 860-873-8861
Provider Business Practice Location Address
First Line : 140 RIVER RD
Second Line :
City : EAST HADDAM
State : CT
Zip : 06423-1403
Country : US
Telephone Number : 860-873-2700
Fax Number : 860-873-8861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2011
Last Update Date : 09/05/2014

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Directions to “ DR. JOSHUA DAVID ACOCELLA-STOLLERMAN PSY.D.” Practice Location

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