Doctor Name: | MRS. SANDRA STUHR |
NPI Number: | 1275638892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110068 |
Business Practice Address: | 23-02 Whites Path South Bay Mental Health Center S Yarmouth, MA - 02664 |
Business Phone Number: | 5087601475 |
Business Fax Number: | 5087603719 |
Mailing Address: | 18 Warren Rd, YARMOUTH PORT |
State: | MA |
Postal Code: | 02675 |
Phone Number: | 5083980195 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |