NPI 1235540717

Stacy Dean, PHD

Practitioner Specialist Charlottesville, VA

Practice location

Address: 503 Faulconer Dr Suite 7a, Charlottesville, VA 22903-4978
Phone: (434) 996-8161

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1235540717
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2014
Record last updated: 18 May 2014

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.