Organization
GOHMAN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE A GOHMAN PSYD (CLINICAL PSYCHOLOGIST)
(703) 798-2884
Entity
Organization
Contact information
Practice address
8811 SUDLEY RD, #204, MANASSAS, VA 20110-4750
(703) 798-2884
Mailing address
8811 SUDLEY RD, #204, MANASSAS, VA 20110-4750
(703) 798-2884
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7398566
VA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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