Individual
MS. AMY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
462 HERNDON PKWY, SUITE 202, HERNDON, VA 20170-5233
(703) 467-9036
Mailing address
462 HERNDON PKWY, SUITE 202, HERNDON, VA 20170-5233
(703) 467-9036
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000213
VA
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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