Individual
ALLIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-2120
(434) 924-5348
(434) 244-9474
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008550
VA
Other
Enumeration date
07/05/2023
Last updated
07/31/2024
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