Individual
MR. RICHARD ALLEN STUART
Active
Individual
MR. RICHARD ALLEN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DED
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004627L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057246
GHI
PA
01
—
280043
HEALTH AMER
PA
01
—
470368
BLUE SHIELD
PA
01
—
50000768
CBC
PA
Enumeration date
09/29/2006
Last updated
09/20/2011
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