Provider Demographics
NPI:1477754729
Name:STOLEE, JASON (PHD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:STOLEE
Suffix:
Gender:M
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:VA PUGET SOUND HEALTH CARESYSTEM-AMERICAN LAKE DIVISION
Mailing Address - Street 2:9600 VETERANS DRIVE
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493
Mailing Address - Country:US
Mailing Address - Phone:253-968-4851
Mailing Address - Fax:253-968-3278
Practice Address - Street 1:VA PUGET SOUND HEALTH CARESYSTEM-AMERICAN LAKE DIVISION
Practice Address - Street 2:9600 VETERANS DRIVE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493
Practice Address - Country:US
Practice Address - Phone:253-968-4851
Practice Address - Fax:253-968-3278
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00003945103TC0700X
WA3945103TC0700X
WAPY3945103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical