Stejskal, William Joseph

Stejskal, William Joseph is an individual health care provider with primary practice located at 4320 Prince William Pkwy Ste 109 , Woodbridge VA 22192-8100. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Stejskal, William Joseph can be contacted via phone (703) 680-4200.

Contact Information

Primary practice address
4320 Prince William Pkwy Ste 109 Woodbridge VA 22192-8100
Fax: (703) 680-5011
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 1475 District of Columbia
Behavioral Health & Social Service Providers / Forensic 103TF0200X 0810001635 Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810001635 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001635 Virginia

Profile Details

NPI number 1275689390
LBN Legal business name Stejskal, William Joseph
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275689390 NPPES
Virginia Other 145746 ANTHEM BCBS

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