Individual
DR. JOHN RODERICK STAHL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7 DEAN ST, TAUNTON, MA 02780-2725
(508) 822-0006
(508) 880-5389
Mailing address
7 DEAN ST, TAUNTON, MA 02780-2725
(508) 822-0006
(508) 880-5389
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1830
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000953
HARVARDPILGRIMHEALTHCARE
MA
05
—
0503080
—
MA
01
—
213470
BEACON
MA
01
—
30261-0
BCBS RI
RI
01
—
5904732
AETNA
MA
01
—
61-09958
UBH/UNITED HEALTHCARE
MA
01
—
705734
TUFTS HEALTHCARE
MA
01
—
94690
MHN
MA
01
—
S018364
CHAMPUS
MA
01
—
STW02009
BCBS MA
MA
Enumeration date
09/04/2006
Last updated
07/08/2007
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