Organization
OLD TOWN PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN ZIEMER PHD (CLINICAL DIRECTOR)
(571) 478-9499
Entity
Organization
Contact information
Practice address
1221 KING ST, ALEXANDRIA, VA 22314-2926
(571) 478-9499
Mailing address
107 S WEST ST # 519, ALEXANDRIA, VA 22314-2824
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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