Individual
STELLA EKAETTE BASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 FIRST COLONIAL RD STE A, VIRGINIA BEACH, VA 23454-3078
(757) 395-1850
Mailing address
1970 SALEM BLVD, SALEM, VA 24153-6404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101-234154
VA
2084P0800X
Psychiatry Physician
0101234154
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945298
—
VA
Enumeration date
11/18/2005
Last updated
03/14/2024
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