Organization
STANTON E. SAMENOW, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON E. SAMENOW PH.D. (PRESIDENT)
(703) 931-0004
Entity
Organization
Contact information
Practice address
4921 SEMINARY ROAD, SUITE 104, ALEXANDRIA, VA 22311
(703) 931-0004
(703) 379-7288
Mailing address
4921 SEMINARY ROAD, ALEXANDRIA, VA 22311
(703) 931-0004
(703) 379-7288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
VA. LIC. #621
VA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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