| Doctor Name: | PATRICIA L STULL |
| NPI Number: | 1356507677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0195 |
| Business Practice Address: | 1005 S Monroe St Tucumcari, NM - 884013208 |
| Business Phone Number: | 5754613013 |
| Business Fax Number: | 5754611169 |
| Mailing Address: | 1100 W 21st St, CLOVIS |
| State: | NM |
| Postal Code: | 881014151 |
| Phone Number: | 5757692345 |
| Fax Number: | 5757699013 |
| NPI Enumeration Date: | 08/06/2008 |
| NPI Last Update Date: | 08/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |