Stackhouse, Thomas
Stackhouse, Thomas is an individual health care provider with primary practice located at 466 County St , New Bedford MA 02740-5107. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stackhouse, Thomas can be contacted via phone (508) 997-0794.Contact Information
Primary practice address
466 County St
New Bedford MA 02740-5107
Phone: (508) 997-0794
Fax: (508) 999-6607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2679 | Massachusetts |
Profile Details
| NPI number | 1124146121 |
|---|---|
| LBN Legal business name | Stackhouse, Thomas |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Apr 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124146121 | NPPES |
| Massachusetts | Other | 2679 | PSYCHOLOGIST LICENSE |
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