Organization
JOHN JOSEPH GUALTIERI, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH GUALTIERI PH.D. (DIRECTOR)
(703) 790-8111
Entity
Organization
Contact information
Practice address
1515 CHAIN BRIDGE RD, SUITE G14, MC LEAN, VA 22101-4451
(703) 790-8111
(703) 356-1453
Mailing address
1515 CHAIN BRIDGE RD, SUITE G14, MC LEAN, VA 22101-4451
(703) 790-8111
(703) 356-1453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001429
VA
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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