MISS Stacey R Dewan
NPI #1629940036 in Port Jefferson, New York
Provider Information
- NPI Number
- 1629940036
- Entity Type
- Individual
- Name
- MISS Stacey R Dewan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 23, 2025
- Last Updated
- Sep 23, 2025
Practice Location
- Address
- 1000 MAIN ST
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2250
- Phone
- (631) 296-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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