Individual
STACEY ILENE KALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3800 RESERVOIR RD NW, 613 KOBER COGAN HALL, WASHINGTON, DC 20007-2113
(202) 687-6571
(202) 687-0694
Mailing address
5225 POOKS HILL RD, APT 820S, BETHESDA, MD 20814-2052
(301) 493-4582
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810002920
VA
103TC0700X
Clinical Psychologist
Primary
PSY1000157
DC
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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