Individual
MEGAN MICHELLE VAGANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 619-8169
Mailing address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813000624
—
VA
Enumeration date
04/11/2018
Last updated
04/11/2018
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