Individual
DR. JEANNINE MARIE ALFANO-GOHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8811 SUDLEY RD STE 211, MANASSAS, VA 20110-4750
(703) 725-1891
Mailing address
9002 JACKSON AVE, MANASSAS, VA 20110-5052
(703) 725-1891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0701004016
VA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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