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Individual

STEPHEN MONTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5233 WILSON BLVD, ARLINGTON, VA 22205-1113
(703) 597-2394
Mailing address
5233 WILSON BLVD, ARLINGTON, VA 22205-1113
(703) 597-2394

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
02207
MD
103TC0700X
Clinical Psychologist
Primary
0810001582
VA

Other

Enumeration date
03/21/2012
Last updated
01/25/2013
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