Individual
STACY BROOKE BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CAS, NCSP
Contact information
Practice address
15 W GUDE DR, ROCKVILLE, MD 20850-1153
(240) 740-3381
Mailing address
7897 CHALICE RD, SEVERN, MD 21144-1403
(410) 916-6361
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MD
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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