Individual
PATRICK J STUMBRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3744-57
WI
106H00000X
Marriage & Family Therapist
357-228
WI
Other
Enumeration date
09/10/2013
Last updated
08/27/2020
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