MEDICARE: MISS PAMELA STOFFERS

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	103TS0200X	School Psychologist	884097	NJ

General Provider Information

NPI Number	:	1114324985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PAMELA STOFFERS

Provider Business Mailing Address
First Line	:	1 WASHINGTON AVE
Second Line	:	BUILDING 14-6A
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-4341
Country	:	US
Telephone Number	:	973-710-6334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WASHINGTON AVE
Second Line	:	BUILDING 14-6A
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-4341
Country	:	US
Telephone Number	:	973-710-6334
Fax Number	:

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

Provider Enumeration Date	:	11/22/2014
Last Update Date	:	11/22/2014

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Directions to “ MISS PAMELA STOFFERS ” Practice Location

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