Provider Demographics
NPI:1013020932
Name:STAMLER, VIRGINIA LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:LEE
Last Name:STAMLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 N LINN ST
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2143
Mailing Address - Country:US
Mailing Address - Phone:319-354-7394
Mailing Address - Fax:319-354-0939
Practice Address - Street 1:123 N LINN ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2143
Practice Address - Country:US
Practice Address - Phone:319-354-7394
Practice Address - Fax:319-354-0939
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00744103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA50296OtherWELLMARK PROVIDER NUMBER
IA40684Medicare ID - Type UnspecifiedPROVIDER NUMBER