Richard H Stellar Edd Pc in Wellesley - Clinical

Richard H Stellar Edd Pc - NPI 1063402162

Richard H Stellar Edd Pc is a Clinical in Wellesley, Massachusetts. Richard H Stellar Edd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard H Stellar Edd Pc is 1063402162. The last update date is 2008-03-05.

Richard H Stellar Edd Pc's current location address is 486 Washington St, Wellesley, Massachusetts. You can contact this provider via phone number 7812356969 and fax number 7812356969. The mailing address for Richard H Stellar Edd Pc is 486 Washington St, Wellesley, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Richard H Stellar Edd Pc
Address 486 Washington St, Wellesley, Massachusetts
Phone Number 7812356969
Fax Number 7812356969
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Stellar H Richard
Credentials EDD
Telephone Number 7812356969

NPI Number Detail

NPI Number 1063402162
Provider Enumeration Date 2005-10-28
Last Updated Date 2008-03-05

Provider Mailing Address Detail

Address 486 Washington St
City Wellesley
State Massachusetts (MA)
Post Code 24825907
Phone Number 7812356969
Fax Number 7812356969

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 563
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
170797 MA HMO BLUE
706883 MA TUFTS HEALTH PLAN

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FAQs about Richard H Stellar Edd Pc

What is the unique 10-digit identifier code issued to Richard H Stellar Edd Pc by the Centers for Medicare & Medicaid Services?

The Richard H Stellar Edd Pc has been assigned the NPI (National Provider Identifier) 1063402162 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Richard H Stellar Edd Pc is geographically located?

The Richard H Stellar Edd Pc is physically situated at the following location: 486 Washington St, Wellesley, MA, 24825907.

What is Richard H Stellar Edd Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard H Stellar Edd Pc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date was the 1063402162 assigned to Richard H Stellar Edd Pc?

The Richard H Stellar Edd Pc was issued its 1063402162 on 2005-10-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Richard H Stellar Edd Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard H Stellar Edd Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-05.

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