Healthcare Provider Details

I. General information

NPI: 1497965933
Provider Name (Legal Business Name): MARILYN H STINSON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6702 W POLY WEBB RD
ARLINGTON TX
76016-3615
US

IV. Provider business mailing address

6702 W POLY WEBB RD
ARLINGTON TX
76016-3615
US

V. Phone/Fax

Practice location:
  • Phone: 817-478-0095
  • Fax: 817-483-3968
Mailing address:
  • Phone: 817-478-0095
  • Fax: 817-483-3968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6513
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number24597
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number02398
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: