Provider Demographics
NPI:1023151305
Name:STUART, MARIAN R (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:R
Last Name:STUART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HARWICH RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-2639
Mailing Address - Country:US
Mailing Address - Phone:973-267-3127
Mailing Address - Fax:732-246-8084
Practice Address - Street 1:7 HARWICH RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-2639
Practice Address - Country:US
Practice Address - Phone:973-267-3127
Practice Address - Fax:732-246-8084
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSIO1156103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist