| Doctor Name: | ED STOLKNER |
| NPI Number: | 1669775573 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPE |
| License Number: | PE731 |
| Business Practice Address: | Msad 6 Rte 202 Bar Mills, ME - 040040038 |
| Business Phone Number: | 2079293833 |
| Business Fax Number: | |
| Mailing Address: | Po Box 38, BAR MILLS |
| State: | ME |
| Postal Code: | 040040038 |
| Phone Number: | 2079293833 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2010 |
| NPI Last Update Date: | 12/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | PE731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |