Monaghan-Blout, Stephanie

Monaghan-Blout, Stephanie is an individual health care provider with primary practice located at 193 Oak St Suite 1, Newton MA 02464-1457. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Monaghan-Blout, Stephanie can be contacted via phone (617) 641-0900.

Contact Information

Primary practice address
193 Oak St Suite 1 Newton MA 02464-1457
Phone: (617) 641-0900
Fax: (617) 641-0930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 7830 Massachusetts

Profile Details

NPI number 1992854210
LBN Legal business name Monaghan-Blout, Stephanie
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1992854210 NPPES
Massachusetts Other W06097 BLUE CROSS PROVIDER NUMBE

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