DR. Lawrence James Stava, PH.D.

NPI #1215028311 in Sun Prairie, Wisconsin

Provider Information

NPI Number: 1215028311
Entity Type: Individual
Name: DR. Lawrence James Stava, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 705 W MAIN ST
Address 2: SUITE 3
City: Sun Prairie
State: Wisconsin
ZIP Code: 53590-2849
Phone: (608) 825-6663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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