Individual
NADEZHDA VLADAGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1651 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
Mailing address
1651 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(646) 287-6551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
0810007048
VA
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
09/11/2015
Last updated
09/28/2023
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