Provider Demographics
NPI:1962678227
Name:MUSIAL, STEPHANIE RAYMONDE (ATR-BC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:RAYMONDE
Last Name:MUSIAL
Suffix:
Gender:F
Credentials:ATR-BC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CEDAR ST STE 203
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1831
Mailing Address - Country:US
Mailing Address - Phone:978-290-0042
Mailing Address - Fax:
Practice Address - Street 1:14 CEDAR ST
Practice Address - Street 2:SUITE 203
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-1831
Practice Address - Country:US
Practice Address - Phone:978-290-0042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health