Provider Demographics
NPI:1417050295
Name:STECHLER, NANCY J (PSY D)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:J
Last Name:STECHLER
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PROVIDENCE HWY
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081
Mailing Address - Country:US
Mailing Address - Phone:508-404-1899
Mailing Address - Fax:508-543-2133
Practice Address - Street 1:1600 PROVIDENCE HWY
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081
Practice Address - Country:US
Practice Address - Phone:508-404-1899
Practice Address - Fax:508-543-2133
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6303103T00000X
MAMA6303103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW05024Medicare ID - Type Unspecified