Individual
STACEY C. FELMLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-5999
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186459
ANTHEM PROVIDER NUMBER
—
01
—
203639329001
TRICARE PROVIDER NUMBER
—
01
—
2237218
CIGNA BEHAVIOR PROVIDER N
—
Enumeration date
08/10/2005
Last updated
03/18/2008
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