Stein, Traci R.

Stein, Traci R. is an sole proprietor health care provider with primary practice located at 2 Trefoil Pass , West Orange NJ 07052-4972. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stein, Traci R. can be contacted via phone (201) 978-3178.

Contact Information

Primary practice address
2 Trefoil Pass West Orange NJ 07052-4972
Phone: (201) 978-3178
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 018874 New York
Behavioral Health & Social Service Providers / Health 103TH0004X 018874 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 018874 New York

Profile Details

NPI number 1033348164
LBN Legal business name Stein, Traci R.
Credentials PHD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2009
Last updated Jan 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033348164 NPPES
New York Other 1437453149 NPI

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