Individual
DR. EMMA VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2200 WILSON BLVD STE 210, ARLINGTON, VA 22201-3324
(703) 539-5006
Mailing address
2200 WILSON BOULIVARD, SUITE 210, ARLINGTON, VA 22201
(703) 539-5006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007268
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103TC0700X
TAXONOMY CODE
—
Enumeration date
05/05/2020
Last updated
10/23/2020
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