Individual
DR. ELISSA MAY GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8119 HOLLAND RD, MT VERNON CENTER, ALEXANDRIA, VA 22306-3135
(703) 360-6910
(703) 360-0899
Mailing address
8119 HOLLAND RD, MT VERNON CENTER, ALEXANDRIA, VA 22306-0000
(703) 360-6910
(703) 360-0899
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101045768
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101045768
VA
Other
Enumeration date
08/30/2006
Last updated
02/26/2013
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