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Individual

DR. TERESA L. DELAWTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9108 CHURCH ST, UNIT 486, MANASSAS, VA 20108-8001
(703) 257-8401
(703) 753-2868
Mailing address
9108 CHURCH ST UNIT 486, MANASSAS, VA 20108-8020
(703) 257-8401
(703) 335-7049

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101051233
VA
2084P0800X
Psychiatry Physician
Primary
BOARD CERT # 40899
VA

Other

Enumeration date
10/23/2006
Last updated
10/01/2024
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