Stubenhaus, Eric C

Stubenhaus, Eric C is an sole proprietor health care provider with primary practice located at 3 Dundee Park Suite B05, Andover MA 01810. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Stubenhaus, Eric C can be contacted via phone (978) 475-6622.

Contact Information

Primary practice address
3 Dundee Park Suite B05 Andover MA 01810
Phone: (978) 475-6622
Fax: (978) 475-8436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4737 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4737 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4737 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4737 Massachusetts

Profile Details

NPI number 1588771547
LBN Legal business name Stubenhaus, Eric C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Mar 20th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588771547 NPPES
Massachusetts MEDICAID 0521418

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