Stukenbroeker, Dana

Stukenbroeker, Dana is an individual health care provider with primary practice located at 141 Parker St Ste 306 , Maynard MA 01754-2180. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Stukenbroeker, Dana can be contacted via phone (888) 991-2103.

Contact Information

Primary practice address
141 Parker St Ste 306 Maynard MA 01754-2180
Phone: (888) 991-2103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37PC00699000 New Jersey

Profile Details

NPI number 1053996553
LBN Legal business name Stukenbroeker, Dana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 2021 - about 5 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 1053996553 NPPES
New Jersey Other 37PC00699000 LICENSE

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