Individual
DAVID STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5 ELM ST, CLINTON, NY 13323-1315
(315) 853-1605
Mailing address
5 ELM ST, CLINTON, NY 13323-1315
(315) 853-1605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010822
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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