Individual
DR. DERRICK D'ARTAGNON STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
BLDG 14010, CAROLINAS AVE, ANDERSEN AFB, GU 96929
(717) 880-1667
Mailing address
PO BOX 290262, YIGO, GU 96929-3034
(717) 880-1667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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