Individual
AVITAL YAEL DESKALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
277 S. WASHINGTON ST, SUITE 201, #1025, ALEXANDRIA, VA 22314
(703) 249-9084
(202) 650-6362
Mailing address
6421 N ELM TREE RD, MILWAUKEE, WI 53217-4127
(414) 324-8283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
713690
MD
103T00000X
Psychologist
Primary
PSY1001213
DC
Other
Enumeration date
07/21/2014
Last updated
05/13/2024
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