Provider Demographics
NPI:1689035388
Name:STEFANACCI SEWARD, JANICE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:STEFANACCI SEWARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BERKSHIRE HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1528
Mailing Address - Country:US
Mailing Address - Phone:413-429-1240
Mailing Address - Fax:
Practice Address - Street 1:9 BERKSHIRE HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1528
Practice Address - Country:US
Practice Address - Phone:413-429-1240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010396103TC0700X
MA9129103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical