Individual
DR. VIVIAN LETICIA STOVALL
Active
Individual
DR. VIVIAN LETICIA STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301016144
MI
103TC0700X
Clinical Psychologist
Primary
PY0844
NV
Other
Enumeration date
12/13/2016
Last updated
09/16/2020
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