Organization
STULTZ SLEEP STUDY SERVICES
Active
Organization
STULTZ SLEEP STUDY SERVICES
Active
Other names
Rest Ensured Sleep Technologies
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA J STULTZ MD (MEMBER)
(304) 638-6163
Entity
Organization
Contact information
Practice address
6171 CHILDERS RD, BARBOURSVILLE, WV 25504-1227
(304) 733-5380
(304) 733-5796
Mailing address
PO BOX 457, BARBOURSVILLE, WV 25504-0457
(304) 733-5380
(304) 733-5796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
16672
WV
2084P0804X
Child & Adolescent Psychiatry Physician
16672
WV
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
16672
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346244936
MHNET
—
01
—
1346249836
CIGNA BEHAVIORAL HEALTH
—
05
—
3810018469
—
WV
01
—
4510542
AETNA
—
Enumeration date
03/09/2010
Last updated
05/06/2015
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