Individual
GRACE LANGEBECK GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2300 PIMMIT DR. #115, FALLS CHURCH, VA 22043-2837
(703) 447-8930
Mailing address
2300 PIMMIT DR. #115, FALLS CHURCH, VA 22043-2837
(703) 447-8930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04767
MD
103TC0700X
Clinical Psychologist
0810004437
VA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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