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Contact Information

KATHLEEN STANLEY, MD
3601 4TH ST
SUITE 1C102
LUBBOCK, TX79430-0002
 Phone: 806-743-2800
 Fax: 806-743-1668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KATHLEEN STANLEY · (Female)

NPI # 1306822689
Status Active
Credentials MD
Entity Individual
Enumeration date 12/19/2005
Last updated 07/13/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G1268
  • NM Medicaid 22304550
  • OK Medicaid 100845570A
  • TX Medicaid 114700104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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