Individual
DR. STEFANIE MARIE CONSOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15803 CRABBS BRANCH WAY, 2ND FLOOR, DERWOOD, MD 20855-2842
(301) 525-5141
Mailing address
13927 FALCONCREST RD, GERMANTOWN, MD 20874-2261
(301) 525-5141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04638
MD
Other
Enumeration date
12/06/2009
Last updated
04/24/2015
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