Provider Demographics
NPI:1376004481
Name:FRANK J STOLL, PH.D., LLC
Entity Type:Organization
Organization Name:FRANK J STOLL, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:STOLL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-561-1662
Mailing Address - Street 1:18 N MAIN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1970
Mailing Address - Country:US
Mailing Address - Phone:860-561-1662
Mailing Address - Fax:860-561-1723
Practice Address - Street 1:18 N MAIN ST FL 3
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1970
Practice Address - Country:US
Practice Address - Phone:860-561-1662
Practice Address - Fax:860-561-1723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty