Individual
CAROLE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4501 CONNECTICUT AVE NW, SUITE 215, WASHINGTON, DC 20008-3710
(202) 237-7179
(202) 237-7177
Mailing address
4501 CONNECTICUT AVE NW, SUITE 215, WASHINGTON, DC 20008-3710
(202) 237-7179
(202) 237-7177
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1654
DC
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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