Individual
DR. STACEY M RUMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11130 FAIRFAX BLVD, SUITE 350, FAIRFAX, VA 22030-5035
(703) 691-1326
(703) 691-3553
Mailing address
11130 FAIRFAX BLVD, SUITE 350, FAIRFAX, VA 22030-5035
(703) 691-1326
(703) 691-3553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004329
VA
103TC0700X
Clinical Psychologist
PSY22338
CA
Other
Enumeration date
01/21/2009
Last updated
02/16/2011
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