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NPI Code Detail

MEDICARE: KS STANLEY, PSYD, PLLC

MEDICARE: KS STANLEY, PSYD, PLLC
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
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1225629702
Entity Type Code : Organization
Provider Name (Legal Business Name) : KS STANLEY, PSYD, PLLC
Provider Business Mailing Address
First Line : 1225 NORTH LOOP W STE 935
Second Line : PMB 138
City : HOUSTON
State : TX
Zip : 77008-1763
Country : US
Telephone Number : 346-232-5060
Fax Number :
Provider Business Practice Location Address
First Line : 2211 NORFOLK ST STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77098-4044
Country : US
Telephone Number : 346-232-5060
Fax Number :
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST AND OWNER
Name : DR. KS STANLEY
Credential : PSYD
Telephone Number : 346-232-5060
Provider Enumeration Date : 01/28/2021
Last Update Date : 12/19/2025

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Directions to “KS STANLEY, PSYD, PLLC ” Practice Location

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