Individual
BRENDA LEE STADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1101 LEAH LN, ROUND ROCK, TX 78665-3916
(512) 567-8125
Mailing address
1101 LEAH LN, ROUND ROCK, TX 78665-3916
(512) 567-8125
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
5682
TX
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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