Individual
ERIKA PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11204 WAPLES MILL RD, FAIRFAX, VA 22030-6036
(703) 218-8500
(703) 359-0463
Mailing address
11204 WAPLES MILL RD, FAIRFAX, VA 22030-6036
(703) 218-8500
(703) 359-0463
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810008170
VA
103T00000X
Psychologist
Primary
11925
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
04/02/2020
Last updated
05/04/2026
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