Provider Demographics
NPI:1487876025
Name:STAYER, CATHERINE (MD PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:STAYER
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 DRAKES CORNER RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:CA
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-924-2028
Mailing Address - Fax:609-924-6704
Practice Address - Street 1:36 DRAKES CORNER RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:CA
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:609-924-2028
Practice Address - Fax:609-924-6704
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA080000002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry