MEDICARE: ANITA Y STOLLINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0700X	Adult Development & Aging Psychologist

General Provider Information

NPI Number	:	1073468765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA Y STOLLINGS

Provider Business Mailing Address
First Line	:	3439 VALERIE ARMS DR APT 708
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-2135
Country	:	US
Telephone Number	:	937-607-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	3439 VALERIE ARMS DR APT 708
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-2135
Country	:	US
Telephone Number	:	937-607-0975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	03/12/2026

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Directions to “ ANITA Y STOLLINGS ” Practice Location

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