Individual
FATU FORNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 N BEAUREGARD ST APT 115, ALEXANDRIA, VA 22311-4633
(703) 991-9553
(703) 997-5971
Mailing address
303 MARSHALLS VENTURE CT, ACCOKEEK, MD 20607-3347
(703) 991-9553
(703) 997-5971
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
437701001
VA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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