NPI 1023195864

Deborah Jean Stack, PHD

Practitioner Psychologist Hartford, CT

Practice location

Address: 682 Prospect Avenue, Hartford, CT 06105
Phone: (860) 258-6065
Fax: (860) 232-5077

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1238 (CT)

Other Psychologist providers in Connecticut →

Registry record

NPI: 1023195864
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.