Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JUDITH ELLEN STAIB, MA CS APRN
Active Sole ProprietorMRS. JUDITH ELLEN STAIB, MA CS APRN is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in FARMINGTON, Connecticut. NPI 1376719500 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · FARMINGTON, CT
Registration Details
- NPI Number
- 1376719500
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2008 (18.250249157526 yrs)
- Last Updated
- May 7, 2008
- Licenses
-
E28693 (CT)CT001286 (CT)CT001286 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43 DIAMOND GLEN RDFARMINGTON, CT, 060340009Browse CT providers · Browse ZIP 06034
- Phone
- 8606772471
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
- Additional Specialty
- Psychiatric/Mental Health, Child & Adolescent CNS
- Additional Specialty
- Psychiatric/Mental Health, Geropsychiatric CNS
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.