| Doctor Name: | DR. LISA DIANE STINSON |
| NPI Number: | 1043374572 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 3272 |
| Business Practice Address: | 109 E 2nd St Suite 11 North Platte, NE - 691015474 |
| Business Phone Number: | 3086609602 |
| Business Fax Number: | 8557107722 |
| Mailing Address: | 109 E 2nd St, Suite 11 NORTH PLATTE |
| State: | NE |
| Postal Code: | 691015474 |
| Phone Number: | 3086609602 |
| Fax Number: | 8557107722 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3272 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |