Organization
FAMILY & CHILD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA VAN EMBURGH PSYD (OWNER)
(703) 864-4444
Entity
Organization
Contact information
Practice address
144 CHURCH ST. NW STE 205, VIENNA, VA 22180
(703) 864-4444
Mailing address
144 CHURCH ST. NW STE 205, VIENNA, VA 22180
(703) 864-4444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
01/11/2023
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