Stauber, Helena Yolanda
Stauber, Helena Yolanda is an sole proprietor health care provider with primary practice located at 4 Militia Dr Suite 23, Lexington MA 02421-4737. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Stauber, Helena Yolanda can be contacted via phone (617) 513-1775.Contact Information
Primary practice address
4 Militia Dr Suite 23
Lexington MA 02421-4737
Phone: (617) 513-1775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 7075 | Massachusetts |
Profile Details
| NPI number | 1669538146 |
|---|---|
| LBN Legal business name | Stauber, Helena Yolanda |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669538146 | NPPES |
| Massachusetts | Other | W05711 | BLUE CROSS BLUE SHIELD |
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