Individual
KERI KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-4495
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006290
VA
Other
Enumeration date
08/27/2019
Last updated
07/20/2020
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