Organization
DIANE ROBERTS STOLER EDD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE R STOLER EDD (CEO)
(978) 352-6349
Entity
Organization
Contact information
Practice address
87 WASHINGTON ST., BOXFORD, MA 01921-1240
(978) 352-6349
(978) 352-2835
Mailing address
P.O. BOX 148, GEORGETOWN, MA 01833-0148
(978) 352-6349
(978) 352-2835
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2229
MA
103TE1100X
Exercise & Sports Psychologist
2229
MA
103TH0100X
Health Service Psychologist
2229
MA
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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