Healthcare Provider Details

I. General information

NPI: 1548188253
Provider Name (Legal Business Name): STEPHANIE CERRATO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9707 KEY WEST AVE STE 100
ROCKVILLE MD
20850-3992
US

IV. Provider business mailing address

6417 ROCK FOREST DR APT 205
BETHESDA MD
20817-7861
US

V. Phone/Fax

Practice location:
  • Phone: 240-750-6467
  • Fax:
Mailing address:
  • Phone: 804-503-8190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: