MEDICARE: DR. STONSA N. INSINNA PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0810001801	VA
2	163W00000X	Registered Nurse	0001127485	VA

General Provider Information

NPI Number	:	1932271830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STONSA N. INSINNA PH.D.

Provider Business Mailing Address
First Line	:	425 W 20TH ST
Second Line	:	SUITE 5
City	:	NORFOLK
State	:	VA
Zip	:	23517-2128
Country	:	US
Telephone Number	:	757-686-1756
Fax Number	:	757-686-9086

Provider Business Practice Location Address
First Line	:	425 W 20TH ST
Second Line	:	SUITE 5
City	:	NORFOLK
State	:	VA
Zip	:	23517-2128
Country	:	US
Telephone Number	:	757-686-1756
Fax Number	:	757-686-9086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	09/11/2025

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