# CHILD AND FAMILY PSYCHOLOGICAL SERVICES OF ROCKVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548429277
- **Authorized official:** DR. KENNETH STEFANO PSY.D. (BUSINESS MANAGER)
- **Authorized official phone:** (301) 320-2498

## Contact information

- **Practice address:** 6155 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
- **Practice address phone:** (301) 320-2498
- **Mailing address:** 6155 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
- **Mailing address phone:** (301) 320-2498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 3166 | MD | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008