Individual
DR. NANCY DUTTON POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
205 HIRST RD, PURCELLVILLE, VA 20132-6198
(703) 674-8929
Mailing address
205 HIRST RD STE 103, PURCELLVILLE, VA 20132-6199
(703) 674-8929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1081
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075082
OPTIONS
—
01
—
078759
ANTHEM BCBS TRIGOD
VA
01
—
099947000
MAGELLAN MIS
—
01
—
323312
TRICARE
—
01
—
4752
CAREFIRST BCBS
—
05
—
7700822
—
VA
Enumeration date
10/25/2005
Last updated
05/12/2023
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