Individual
ALLIE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
8500 EXECUTIVE PARK AVE STE 204, FAIRFAX, VA 22031-2253
(703) 876-8480
Mailing address
832 N FREDERICK ST, ARLINGTON, VA 22205-1109
(816) 868-4027
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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