Individual
SHERYL KONGSTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3022 WILLIAMS DR, SUITE 300, FAIRFAX, VA 22031-4600
(703) 573-9800
(703) 573-2959
Mailing address
3022 WILLIAMS DR, SUITE 300, FAIRFAX, VA 22031-4600
(703) 573-9800
(703) 573-2959
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001880
VA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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