Dudley, Roy Alan
Dudley, Roy Alan is an individual health care provider with primary practice located at 4 Main St Suite 5, Westfield MA 01085-3150. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dudley, Roy Alan can be contacted via phone (413) 730-5337.Contact Information
Primary practice address
4 Main St Suite 5
Westfield MA 01085-3150
Phone: (413) 730-5337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1019407 | Massachusetts |
Profile Details
| NPI number | 1508818436 |
|---|---|
| LBN Legal business name | Dudley, Roy Alan |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508818436 | NPPES |
| Massachusetts | Other | P06084 | BCBS PROVIDER # |
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