Individual
THOMAS STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
466 COUNTY ST, NEW BEDFORD, MA 02740-5107
(508) 997-0794
(508) 999-6607
Mailing address
105 WEBSTER ST STE 8, HANOVER, MA 02339-1227
(781) 754-6545
(508) 999-6607
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2679
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2679
PSYCHOLOGIST LICENSE
MA
Enumeration date
03/27/2007
Last updated
04/13/2023
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