Staples, Richard Bruce

Staples, Richard Bruce is an sole proprietor health care provider with primary practice located at 28 1/2 Peabody Sq , Peabody MA 01960-5655. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Staples, Richard Bruce can be contacted via phone (978) 815-1570.

Contact Information

Primary practice address
28 1/2 Peabody Sq Peabody MA 01960-5655
Phone: (978) 815-1570
Fax: (978) 531-6244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 63 Massachusetts
Behavioral Health & Social Service Providers / School 103TS0200X 289705 Massachusetts

Profile Details

NPI number 1164454294
LBN Legal business name Staples, Richard Bruce
Credentials CAGS, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164454294 NPPES
Massachusetts Other 9412132 PHCS PROVIDER ID NUMBER
Massachusetts Other LM1224 PHCS PROVIDER ID NUMBER

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