Individual
DR. JESSICA STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
221 RIVERMOOR ST, BOSTON, MA 02132-4905
(617) 942-0236
Mailing address
221 RIVERMOOR ST, BOSTON, MA 02132-4905
(617) 942-0236
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
9057
MA
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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