Stephanie Fellenberg, PSYD

NPI #1447348198 in Lake Ridge, Virginia

Provider Information

NPI Number
1447348198
Entity Type
Individual
Name
Stephanie Fellenberg, PSYD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PSYD
Enumeration Date
Oct 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2239F TACKETTS MILL DR
Address 2
PSYCHOLOGICAL & LIFE SKILLS ASSOC PC
ZIP Code
22192
Phone
(703) 490-0336

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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