Dershewitz, Stacey Lynn

Dershewitz, Stacey Lynn is an sole proprietor health care provider with primary practice located at 1483 Chain Bridge Rd Ste 301 , Mc Lean VA 22101-5703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dershewitz, Stacey Lynn can be contacted via phone (202) 557-1422.

Contact Information

Primary practice address
1483 Chain Bridge Rd Ste 301 Mc Lean VA 22101-5703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810005753 Virginia

Profile Details

NPI number 1548814619
LBN Legal business name Dershewitz, Stacey Lynn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2019
Last updated Jul 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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