Individual
DR. STEPHANIE ELLEN WAGGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
2201 COOPERATIVE WAY STE 600, HERNDON, VA 20171-3005
(646) 776-0739
(703) 788-6867
Mailing address
2201 COOPERATIVE WAY STE 600, HERNDON, VA 20171-3005
(646) 776-0739
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101260311
VA
Other
Enumeration date
05/19/2014
Last updated
10/17/2017
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