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NPI 1609703412

NPI 1609703412 : STANLEY PSYCH SERVICES PLLC : NORWELL, MA

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General NPI Number Information
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    NPI Number           |    1609703412
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    Entity Type          |    Organization 
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    Legal Business Name  |    STANLEY PSYCH SERVICES PLLC 
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Dates
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    Enumeration Date     |    05/06/2026
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    Last Update Date     |    05/06/2026
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Provider Practice Location Address
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    Address Line         |    80 WASHINGTON ST STE C17 
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    City                 |    NORWELL
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    State                |    MA
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    Zip                  |    02061-1729
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    Country              |    US
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    Telephone            |    774-220-0892
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    Fax                  |    774-283-9774
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Provider Business Mailing Address
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    Address Line         |    452 RAYMOND RD 
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    City                 |    PLYMOUTH
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    State                |    MA
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    Zip                  |    02360-6877
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JESSICA L STANLEY 
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    Credential           |    PMHNP-BC, APRN
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    Telephone            |    774-220-0892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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