Individual
DR. IAN HARRISON STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-6996
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
11768
MA
103TC0700X
Clinical Psychologist
Primary
PS01992
RI
Other
Enumeration date
09/20/2021
Last updated
04/12/2022
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