Individual
DR. SULTON STACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 MAIN ST STE 223, STRATFORD, CT 06615-5839
(203) 257-4454
Mailing address
40 TRELANE DR, BRIDGEPORT, CT 06606-2215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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