NPI 1205574647

Melissa Ann Stack, PSYD

Practitioner Psychologist Middletown, NY

Practice location

Address: 1880 Goshen Tpke # B, Middletown, NY 10941-1258
Phone: (845) 597-5369

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 024952 (NY)

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Registry record

NPI: 1205574647
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2022
Record last updated: 25 May 2022

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.