MEDICARE: DR. STUART JAY SOKOL PH.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	001754	CT

General Provider Information

NPI Number	:	1225153943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART JAY SOKOL PH.D.

Provider Business Mailing Address
First Line	:	2 WHITNEY AVE
Second Line	:	SUITE 204
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-1220
Country	:	US
Telephone Number	:	203-777-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 WHITNEY AVE
Second Line	:	SUITE 204
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-1220
Country	:	US
Telephone Number	:	203-777-4200
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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