Organization
STEFANIE M CONSOLLA, PHD LLC
Active
Organization
STEFANIE M CONSOLLA, PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANIE MARIE CONSOLLA PH.D. (CLINICAL PSYCHOLOGIST)
(301) 525-5141
Entity
Organization
Contact information
Practice address
15803 CRABBS BRANCH WAY, 2ND FLOOR, DERWOOD, MD 20855-2842
(301) 525-5141
Mailing address
13927 FALCONCREST RD, GERMANTOWN, MD 20874-2261
(301) 525-5141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04638
MD
Other
Enumeration date
04/19/2010
Last updated
05/06/2015
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