Individual
PAUL F STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3706
Mailing address
16956 E 106TH AVE, COMMERCE CITY, CO 80022-0590
(303) 973-9865
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006153
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
07/08/2007
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