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Contact Information

JAMES S BASTIEN, LICSW, MHD
421 N MAIN ST
LEEDS, MA01053-9764
 Phone: 413-548-4040
 Fax: 413-582-3073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for JAMES S BASTIEN · (Male)

NPI Number 1356636112
Status Active
Credentials LICSW, MHD
Entity Individual
Enumeration date 06/09/2011
Last updated 07/02/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 116407
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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