NPI 1003138744

Avy Stock

Practitioner Clinical Child & Adolescent Psychologist Leesburg, VA

Practice location

Address: 42009 Victory Ln, Leesburg, VA 20176-6269
Phone: (330) 758-4515
Fax: (330) 758-2862

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 0810003939 (VA)

Other Psychologist providers in Virginia →

Registry record

NPI: 1003138744
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2010
Record last updated: 23 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.