Individual
DR. STACY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
503 FAULCONER DR, SUITE 7A, CHARLOTTESVILLE, VA 22903-4978
(434) 996-8161
Mailing address
503 FAULCONER DR, SUITE 7A, CHARLOTTESVILLE, VA 22903-4978
(434) 996-8161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/18/2014
Last updated
05/18/2014
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