Provider Demographics
NPI:1316093891
Name:STOLLERMAN, RHONDA JILL
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JILL
Last Name:STOLLERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 RUTGERS RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2513
Mailing Address - Country:US
Mailing Address - Phone:781-237-9875
Mailing Address - Fax:
Practice Address - Street 1:30 RUTGERS RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2513
Practice Address - Country:US
Practice Address - Phone:781-237-9875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional