Individual
DR. IRENA MORIN FEDOROVSKY
Active
Individual
DR. IRENA MORIN FEDOROVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
05524
MD
103TC0700X
Clinical Psychologist
Primary
0810005119
VA
103TC0700X
Clinical Psychologist
PSY1001033
DC
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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