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Contact Information

ERIC C STUBENHAUS, PhD
3 DUNDEE PARK
SUITE B05
ANDOVER, MA01810
 Phone: 978-475-6622
 Fax: 978-475-8436
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ERIC C STUBENHAUS · (Male)

NPI Number 1588771547
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/24/2006
Last updated 03/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 4737
  • MA Medicaid 0521418
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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