Doctor Name: | MS. ELIZABETH EDITH STOLTE |
NPI Number: | 1073781712 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 100416 |
Business Practice Address: | 120 David Wade Drive Victoria, TX - 77905 |
Business Phone Number: | 3615758271 |
Business Fax Number: | 3615756520 |
Mailing Address: | Po Box 2666, VICTORIA |
State: | TX |
Postal Code: | 779022666 |
Phone Number: | 3615758271 |
Fax Number: | 3615756520 |
NPI Enumeration Date: | 02/15/2008 |
NPI Last Update Date: | 09/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 100416 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |