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NPI Code Detail

MEDICARE: PAUL STUVE PH.D.

MEDICARE: PAUL STUVE PH.D.
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
1103T00000XPsychologistR0345MO

General Provider Information

NPI Number : 1356389670
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL STUVE PH.D.
Provider Business Mailing Address
First Line : PO BOX 1427
Second Line :
City : COLUMBIA
State : MO
Zip : 65205-1427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 E 5TH ST
Second Line :
City : FULTON
State : MO
Zip : 65251-1753
Country : US
Telephone Number : 573-592-2623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 07/08/2007

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Directions to “ PAUL STUVE PH.D.” Practice Location

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