Active NPIIndividual providerSole proprietor

Dr. Sulton Stack Jr.

Psychologist in Stratford, Connecticut

NPI Number1184443830
Practice location
2505 Main St Ste 223, Stratford, CT 06615-5839
Fax
—
Last updated
October 9, 2024

Sulton Stack is a Psychologist based in Stratford, CT. Sulton Stack practices in Stratford, CT. The NPI Number for Sulton Stack is 1184443830. The current practice location address for Sulton Stack is 2505 Main St Ste 223, Stratford, CT 06615-5839 and can be reached out via phone at 203-257-4454.

Provider Profile Details

NPI Number
1184443830
Provider Name
Sulton Stack
Provider Entity Type
Individual
Gender
Male
Address
2505 Main St Ste 223, Stratford, CT 06615-5839
Phone Number
203-257-4454
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 9, 2024
Last Update Date
October 9, 2024
Certification Date
October 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2505 Main St Ste 223
Stratford, CT 06615-5839
Zip
06615-5839
Phone Number
203-257-4454
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
40 Trelane Dr
Bridgeport, CT 06606-2215
City
Bridgeport
State
CT
Zip
06606-2215

License Information

Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sulton Stack Jr.?

The NPI number of Dr. Sulton Stack Jr. is 1184443830. It was assigned on October 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Sulton Stack Jr.?

Dr. Sulton Stack Jr. is registered under the primary taxonomy Psychologist (code 103T00000X).

Where does Dr. Sulton Stack Jr. practice?

The practice location is 2505 Main St Ste 223, Stratford, CT 06615-5839. The office can be reached at 203-257-4454 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184443830 directly on the NPPES registry website.

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