Individual
GEORGE STAVROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
305 NEWBURY ST, SUITE 41, BOSTON, MA 02115-2833
(617) 312-5667
Mailing address
63 BELLEVUE HILL RD, WEST ROXBURY, MA 02132-2120
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7536
MA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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