Individual provider · Type 1 NPI

Stephanie Fellenberg, PSYD

Clinical Psychologist · Lake Ridge, VA

NPI number 1447348198 Active

Practice location

2239F Tacketts Mill Dr, Psychological & Life Skills Assoc Pc
Lake Ridge, VA 22192

Fax (703) 490-4525

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810003529 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1447348198

Stephanie Fellenberg, PSYD's National Provider Identifier is 1447348198, issued on Oct 10, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Ridge, VA. The record was last updated on Jul 8, 2007.