| NPI | 1083912034 |
|---|---|
| Other Name | JEFFRY STINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071008039) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071008039) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2019-06-24 |