Individual
STEPHANIE KAYE NOWACKI-BUTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
911 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5355
(434) 984-0023
Mailing address
911 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5355
(434) 984-0023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004327
VA
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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