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Individual

DR. PAMELA LONGFELLOW SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
9501 FARRELL RD STE GC-11, FORT BELVOIR, VA 22060-5901
(571) 970-2633
Mailing address
1734 DOGWOOD DR, ALEXANDRIA, VA 22302-2324
(571) 970-2633

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003789
VA
103TC0700X
Clinical Psychologist
1000392
DC
103TC0700X
Clinical Psychologist
962
HI

Other

Enumeration date
06/12/2007
Last updated
07/08/2007
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