Organization
MIND BODY CONNECTION, INC
Active
Organization
MIND BODY CONNECTION, INC
Active
Other names
Anupama Kommu
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUPAMA T KOMMU PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(571) 364-3095
Entity
Organization
Contact information
Practice address
493 BLACKWELL RD, SUITE 203, WARRENTON, VA 20186
(571) 364-3095
(540) 341-7091
Mailing address
4441 CORRAL RD, WARRENTON, VA 20187
(571) 364-3095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004824
VA
Other
Enumeration date
09/13/2013
Last updated
10/29/2019
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