| Doctor Name: | KATHERINE EVANS STANFILL |
| NPI Number: | 1003251406 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY60312491 |
| Business Practice Address: | Madigan Army Medical Ctr 9040 Reid Street, Attn: Mchj-clq-c Tacoma, WA - 984311100 |
| Business Phone Number: | 2539682252 |
| Business Fax Number: | 2539683278 |
| Mailing Address: | Madigan Army Medical Ctr, 9040 Reid Street, Attn: Mchj-clq-c TACOMA |
| State: | WA |
| Postal Code: | 984311100 |
| Phone Number: | 2539682252 |
| Fax Number: | 2539683278 |
| NPI Enumeration Date: | 04/30/2013 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY60312491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |