Individual
DR. GAYATRI SNEH MANTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
24600 MILLSTREAM DR STE 340, STONE RIDGE, VA 20105-5686
(703) 327-0335
Mailing address
2700 JETSTREAM RD, HERNDON, VA 20171-2576
(703) 554-5246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0805002487
VA
103TC2200X
Clinical Child & Adolescent Psychologist
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Other
Enumeration date
09/11/2023
Last updated
12/19/2023
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