Individual
VIRGINIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
380 MAPLE AVE W, SUITE 303 B, VIENNA, VA 22180-5620
(703) 938-5234
(703) 938-2949
Mailing address
380 MAPLE AVE W, SUITE 303 B, VIENNA, VA 22180-5620
(703) 938-5234
(703) 938-2949
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810001759
VA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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