| Doctor Name: | ABBY O'KEEFE STANISLAW |
| NPI Number: | 1013242536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | LP5186 |
| Business Practice Address: | 1400 E Madison Ave Suite 352 Mankato, MN - 560015473 |
| Business Phone Number: | 5073873195 |
| Business Fax Number: | 5076252224 |
| Mailing Address: | 1230 E Main St, Po Box 8674 MANKATO |
| State: | MN |
| Postal Code: | 560015066 |
| Phone Number: | 5073873195 |
| Fax Number: | 5076252224 |
| NPI Enumeration Date: | 10/16/2009 |
| NPI Last Update Date: | 09/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP5186 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |