Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE R STODDARD, LICSW
Active Sole ProprietorBRUCE R STODDARD, LICSW is a Clinical Social Worker healthcare provider located in PRIDES CROSSING, Massachusetts. NPI 1194935791 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PRIDES CROSSING, MA
Registration Details
- NPI Number
- 1194935791
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (19.211944774916 yrs)
- Last Updated
- Jul 8, 2007
- License
-
110759 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 HALE STREETPRIDES CROSSING, MA, 01965Browse MA providers · Browse ZIP 01965
- Phone
- 9785264759
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.