Doctor Name: | HARVEY L STEWART |
NPI Number: | 1033284294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LADC-1 |
License Number: | 2082 |
Business Practice Address: | 100 N Front St New Bedford, MA - 027407350 |
Business Phone Number: | 5089970475 |
Business Fax Number: | |
Mailing Address: | 19 Sedgewick Rd, FAIRHAVEN |
State: | MA |
Postal Code: | 027191207 |
Phone Number: | 5089938358 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |