Individual
DR. LESLIE ERIN STELLJES NANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1900 CAMPUS COMMONS DR, SUITE 100, RESTON, VA 20191-1561
(703) 677-8633
Mailing address
11760 SUNRISE VALLEY DR, #814, RESTON, VA 20191-1411
(703) 677-8633
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005240
VA
Other
Enumeration date
08/08/2014
Last updated
02/08/2017
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