Individual
STACY BELKONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1970 ROANOKE BLVD, 116B-1, ROANOKE, VA 24019
(540) 982-2463
(540) 983-1085
Mailing address
1970 ROANOKE BLVD, 116B-1, ROANOKE, VA 24019
(540) 982-2463
(540) 983-1085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017929-1
NY
Other
Enumeration date
06/15/2009
Last updated
06/27/2011
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