BRENDA SUE STEPAK


Address: 4 Giralda Farms, Madison, NJ 07940
Phone: 8624322795

BRENDA SUE STEPAK (NPI# 1497311294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497311294
Entity Type Individual
Full Name BRENDA SUE STEPAK
Credential PHD
Practice Address 4 Giralda Farms
Madison
NJ 07940
Mailing Address 11 Helene Dr
Randolph
NJ 07869-4148
Practice Telephone 8624322795
Mailing Telephone 8624322795
Enumeration Date 2019-05-16
Last Update Date 2019-05-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
35100496300 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 4 GIRALDA FARMS
City MADISON
State NJ
Zip Code 07940

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1003457441 Madison Dentistry LLC Dentist 268 Main Street, Suite B, Madison, NJ 07940 2019-10-07
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1417208315 Jared D Cooper Physical Therapist 20 Cook Plaza, Madison, NJ 07940 2012-10-02
1366779548 Joanna M Smith Social Worker 57 Kings Road, Madison, NJ 07940 2009-11-10
1235377920 Jenifer Harris Stein Dietitian, Registered 22 Keep Street, Madison, NJ 07940 2009-02-03
1629261763 Professional Physical Therapy & Training, LLC Clinic/Center 111 Kings Road, Madison, NJ 07940 2007-08-22
1275757122 Grace Counseling Center Counselor 16 Madison Avenue, Madison, NJ 07940 2007-04-12
1184742033 Gloria T Paknis Social Worker 37 Kings Road, Madison, NJ 07940 2007-03-27
1386762755 Tanya Maria Maximoff Chiropractor 250 Main Street, Suite 6, Madison, NJ 07940 2007-03-26
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1417348046 Roger Rattan Psychologist 516 Troy Dr, Madison, WI 53704-1575 2015-02-18
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Competitor

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City MADISON
Zip Code 07940

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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