Individual
STEPHANIE JULIANNA WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(240) 750-6467
(240) 702-0262
Mailing address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(240) 750-6467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
A0609
MD
103TC1900X
Counseling Psychologist
A0609
MD
Other
Enumeration date
01/30/2018
Last updated
08/22/2021
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