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Individual

DR. MICHAEL LEE STANFILL

Active
Find providers by NPI
Individual

DR. MICHAEL LEE STANFILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60273012
WA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY60273012
WA
103TB0200X
Cognitive & Behavioral Psychologist
PY60273012
WA
103TC0700X
Clinical Psychologist
Primary
PY60273012
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY60273012
WA
103TF0200X
Forensic Psychologist
PY60273012
WA
103TH0100X
Health Service Psychologist
PY60273012
WA
103TP2701X
Group Psychotherapy Psychologist
PY60273012
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY60273012
PSYCHOLOGY LICENSE
WA
Enumeration date
11/20/2007
Last updated
07/25/2012
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