Individual
DR. ELEANOR CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
312 S. WASHINGTON STREET, SUITE 3B, ALEXANDRIA, VA 22314
(703) 748-4900
Mailing address
10 ALEXANDER STREET, ALEXANDRIA, VA 22314
(703) 748-4900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002529
VA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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