Provider Demographics
NPI:1427598549
Name:STEIN, KATHERINE ANN LEONBERGER (PSY D)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANN LEONBERGER
Last Name:STEIN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:LEONBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSY D
Mailing Address - Street 1:8381 OLD COURTHOUSE ROAD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182
Mailing Address - Country:US
Mailing Address - Phone:703-938-9090
Mailing Address - Fax:703-938-9091
Practice Address - Street 1:8381 OLD COURTHOUSE ROAD
Practice Address - Street 2:SUITE 330
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182
Practice Address - Country:US
Practice Address - Phone:703-938-9090
Practice Address - Fax:703-938-9091
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005480103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical