Individual
LYNETTE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8134 OLD KEENE MILL RD, SPRINGFIELD, VA 22152-1800
(703) 569-8731
(703) 569-7248
Mailing address
8134 OLD KEENE MILL RD, SPRINGFIELD, VA 22152-1800
(703) 569-8731
(703) 569-7248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IN
103TC0700X
Clinical Psychologist
Primary
0810006344
VA
103TC0700X
Clinical Psychologist
PSY31051
CA
390200000X
Student in an Organized Health Care Education/Training Program
PSB94023440
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2014
Last updated
11/06/2019
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