Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 00744 | IA |
Y | 103TC0700X | Clinical Psychologist | 00744 | IA |
NPI | 1013020932 |
---|---|
Provider Name | Dr. Virginia Lee Stamler |
First Address | Iowa City, IA 52245-2143 |
Second Address | Iowa City, IA 52245-2143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50296 | WELLMARK PROVIDER NUMBER (01) | IA |