| David A. Stulman, Ph.d., P.c. | |
|
2100 Trimmier Rd Suite 103 Killeen TX 76541-8900 | |
| (254) 634-3007 | |
| (254) 634-3280 |
| Full Name | David A. Stulman, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2100 Trimmier Rd, Killeen, Texas |
| Authorized Official Name and Position | David A. Stulman (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2546343007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Stulman, Ph.d., P.c. Po Box 1343 Killeen TX 76540-1343 Ph: (254) 634-3007 | David A. Stulman, Ph.d., P.c. 2100 Trimmier Rd Suite 103 Killeen TX 76541-8900 Ph: (254) 634-3007 |
| NPI Number | 1366403594 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 03/25/2008 |
| Medicare PECOS PAC ID | 9436317104 |
|---|---|
| Medicare Enrollment ID | O20120227000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366403594 | NPI | - | NPPES |
| 21341 | Other | TX | STATE PSYCHOLOGY LICENSE |
| 267 44990 | Other | TX | MAR&FAM THERAPY LICENSE # |
| Provider Name | David A Stulman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508858085 PECOS PAC ID: 2567620248 Enrollment ID: I20120227000629 |
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