DR. Mary Ellen Stanisci, PHD

NPI #1699827501 in Lincroft, New Jersey

Provider Information

NPI Number: 1699827501
Entity Type: Individual
Name: DR. Mary Ellen Stanisci, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 654 NEWMAN SPRINGS ROAD
City: Lincroft
State: New Jersey
ZIP Code: 07738
Phone: (732) 671-0196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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