Individual
DR. ERIC C STUBENHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 DUNDEE PARK, SUITE B05, ANDOVER, MA 01810
(978) 475-6622
(978) 475-8436
Mailing address
3 DUNDEE PARK, SUITE B05, ANDOVER, MA 01810
(978) 475-6622
(978) 475-8436
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4737
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4737
MA
106H00000X
Marriage & Family Therapist
4737
MA
2084P0800X
Psychiatry Physician
4737
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521418
—
MA
Enumeration date
08/24/2006
Last updated
03/20/2015
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