Steward, Mark Robert
Steward, Mark Robert is an sole proprietor health care provider with primary practice located at 53 Langley Rd Suite 340D, Newton Centre MA 02459-1913. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Adult Development & Aging is his primary health care specialty. Steward, Mark Robert can be contacted via phone (617) 484-7604.Contact Information
Primary practice address
53 Langley Rd Suite 340D
Newton Centre MA 02459-1913
Phone: (617) 484-7604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 4784 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4784 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4784 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4784 | Massachusetts |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 4784 | Massachusetts |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 4784 | Massachusetts |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 4784 | Massachusetts |
Profile Details
| NPI number | 1821152828 |
|---|---|
| LBN Legal business name | Steward, Mark Robert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 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 | 1821152828 | NPPES |
| Massachusetts | Other | W04555 | BLUE CROSS BLUE SHIELD |
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