Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL EDWARD STANSLAW, MD
Active Sole ProprietorPAUL EDWARD STANSLAW, MD is a Psychiatry healthcare provider located in PINE RIDGE, South Dakota. NPI 1548392095 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · PINE RIDGE, SD
Registration Details
- NPI Number
- 1548392095
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2007 (19.46814332475 yrs)
- Last Updated
- Apr 24, 2012
- Licenses
-
42587 (AZ)256385-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4500 EAST HWY 18 / PINE RIDGE HOSPITALBEHAVIORAL HEALTH DEPT./ INDIAN HEALTH SERVICEPINE RIDGE, SD, 577701201Browse SD providers · Browse ZIP 57770
- Phone
- 6058673100
- Fax
- 6058673274
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.