Basic Information
| Provider Information | |||||||||
| NPI: | 1477754729 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STOLEE | ||||||||
| FirstName: | JASON | ||||||||
| MiddleName: | |||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | VA PUGET SOUND HEALTH CARESYSTEM-AMERICAN LAKE DIVISION | ||||||||
| Address2: | 9600 VETERANS DRIVE | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98493 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2539684851 | ||||||||
| FaxNumber: | 2539683278 | ||||||||
| Practice Location | |||||||||
| Address1: | VA PUGET SOUND HEALTH CARESYSTEM-AMERICAN LAKE DIVISION | ||||||||
| Address2: | 9600 VETERANS DRIVE | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98493 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2539684851 | ||||||||
| FaxNumber: | 2539683278 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2007 | ||||||||
| LastUpdateDate: | 09/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 00003945 | WA | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 3945 | WA | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | PY3945 | WA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.