Individual
MARIA CHRISTINA BARONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
204 W WASHINGTON ST, DAVIS RESIDENCE HALL, LEXINGTON, VA 24450-2116
(540) 458-8590
(540) 458-8989
Mailing address
75 STONE RIDGE LN, DALEVILLE, VA 24083-3085
(540) 463-6932
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810002874
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810002874
STATE LICENSE
VA
Enumeration date
02/06/2013
Last updated
02/06/2013
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