Individual
DEIRDRE GISELA MODESTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
405 N WASHINGTON ST STE 104, FALLS CHURCH, VA 22046-3410
(703) 525-0242
Mailing address
405 N WASHINGTON ST STE 104, FALLS CHURCH, VA 22046-3410
(703) 525-0242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002096
VA
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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