Individual
STEPHEN T BRESNOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
2179 BROWN LN, AMISSVILLE, VA 20106-2009
(540) 937-7386
Mailing address
614 HASTINGS LN, WARRENTON, VA 20186-2110
(540) 347-4770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002495
VA
Other
Enumeration date
07/28/2008
Last updated
02/01/2010
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