Individual
GINA BORRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 SCHOOL SERVICE RD, ROCKY MOUNT, VA 24151-6720
(540) 483-5138
Mailing address
25 SCHOOL SERVICE RD, ROCKY MOUNT, VA 24151-6720
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004981073
—
VA
Enumeration date
04/05/2019
Last updated
05/16/2019
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