Dearborn, Alan Stuart

Dearborn, Alan Stuart is an sole proprietor health care provider with primary practice located at 1706 El Camino Real Suite 101, Menlo Park CA 94027-4127. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Dearborn, Alan Stuart can be contacted via phone (415) 933-9427.

Contact Information

Primary practice address
1706 El Camino Real Suite 101 Menlo Park CA 94027-4127
Phone: (415) 933-9427
Fax: (650) 325-2019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY25011 California

Profile Details

NPI number 1194855395
LBN Legal business name Dearborn, Alan Stuart
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Nov 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194855395 NPPES
California Other PSY25011 CALIFORNIA BOARD OF PSYCHOLOGY

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