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NPI Code Detail

MEDICARE: DR. JUDITH ANN STEIN PH.D.

MEDICARE: DR. JUDITH ANN STEIN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist6447MA

General Provider Information

NPI Number : 1194930065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH ANN STEIN PH.D.
Provider Business Mailing Address
First Line : 9 BERTRAND RD
Second Line :
City : AUBURNDALE
State : MA
Zip : 02466-2903
Country : US
Telephone Number : 781-861-3711
Fax Number : 781-861-3701
Provider Business Practice Location Address
First Line : 125 HARTWELL AVE
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-3100
Country : US
Telephone Number : 781-861-3711
Fax Number : 781-861-3701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2007
Last Update Date : 07/08/2007

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