Individual
TERRY STIMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
175 W B ST, BUILDING D, SPRINGFIELD, OR 97477-4575
(541) 744-0828
(541) 744-1652
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07072
OR
Other
Enumeration date
06/18/2006
Last updated
10/11/2007
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