Doctor Name: | PATRICIA STILWELL |
NPI Number: | 1003064312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1923 S. Division Guthrie, OK - 73044 |
Business Phone Number: | 4052821830 |
Business Fax Number: | 4052821861 |
Mailing Address: | 1222 10th St Ste 211, WOODWARD |
State: | OK |
Postal Code: | 738013156 |
Phone Number: | 5802343791 |
Fax Number: | 5802377711 |
NPI Enumeration Date: | 08/29/2008 |
NPI Last Update Date: | 06/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |