Individual
ALISHA NOEL STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9246 MOSBY ST UNIT A, MANASSAS, VA 20110-5038
(703) 569-8731
Mailing address
12305 JARROW LN, BRISTOW, VA 20136-2061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007988
VA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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