Individual
LISA DAWN GREEN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
205 HIRST RD STE 103, PURCELLVILLE, VA 20132-6199
(703) 470-5952
Mailing address
205 HIRST RD STE 103, PURCELLVILLE, VA 20132-6199
(703) 470-5952
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002494
VA
Other
Enumeration date
03/06/2007
Last updated
03/21/2019
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