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Individual

DR. CARYLL JEFFERIES SEMMLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
5675 STONE RD STE 300, CENTREVILLE, VA 20120-1667
(703) 829-5597
Mailing address
5675 OLD FARM LN, SUDLEY SPRINGS, VA 20109-2120
(910) 520-0636

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810004070
VA
103TC0700X
Clinical Psychologist
014694
NY
103TC0700X
Clinical Psychologist
Primary
0810004070
VA
103TC0700X
Clinical Psychologist
2775
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2202817
CIGNA
NC
01
344296
MANAGED HEALTH NETWORK
NC
05
6000583
NC
01
BCBS
BLUE CROSS BLUE SHEILD
NC
Enumeration date
06/14/2005
Last updated
02/27/2023
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