Individual
STACY K RADEMACHER VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6764 WALNUT LN, COOPERSBURG, PA 18036-1126
(904) 556-4639
Mailing address
6764 WALNUT LN, COOPERSBURG, PA 18036-1126
(904) 556-4639
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019235
PA
Other
Enumeration date
12/20/2022
Last updated
03/04/2024
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