Individual
DR. STEPHEN K. VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SC.D.
Contact information
Practice address
181 N COMMON ST, LYNN, MA 01905-2506
(617) 257-1259
(781) 596-0663
Mailing address
181 N COMMON ST, LYNN, MA 01905-2506
(617) 257-1259
(781) 596-0663
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1957
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1957
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10202
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
01/08/2009
Last updated
01/08/2009
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