Individual
DR. WILLIAM JOSEPH STEJSKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4320 PRINCE WILLIAM PKWY STE 109, WOODBRIDGE, VA 22192-8100
(703) 680-4200
(703) 680-5011
Mailing address
4320 PRINCE WILLIAM PKWY STE 109, WOODBRIDGE, VA 22192-8100
(703) 680-4200
(703) 680-5011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810001635
VA
103TC0700X
Clinical Psychologist
0810001635
VA
103TF0200X
Forensic Psychologist
Primary
0810001635
VA
103TF0200X
Forensic Psychologist
1475
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145746
ANTHEM BCBS
VA
Enumeration date
01/25/2007
Last updated
07/21/2022
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