Individual provider · Type 1 NPI

Stephen Blackstone Edstrom, MD

Psychiatry Physician · Jbsa Lackland, TX

NPI number 1396942264 Active

Practice location

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638

Call (210) 292-6255 Map

Fax (210) 292-7934

Mailing address

4481 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5536

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X01066091A (IN)
Psychiatry Physician Primary 2084P0800X35.151601 (OH)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1396942264

Stephen Blackstone Edstrom, MD's National Provider Identifier is 1396942264, issued on Jul 2, 2007. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jun 6, 2025.