Individual
DR. ADRIENNE M DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
14147 ASHER VW, CENTREVILLE, VA 20121-5315
(571) 263-5165
Mailing address
14147 ASHER VW, CENTREVILLE, VA 20121-5315
(571) 263-5165
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003979
VA
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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