Individual
PAMELA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7316 RESPITE CT, GAINESVILLE, VA 20155-4841
(571) 283-5919
Mailing address
7316 RESPITE CT, GAINESVILLE, VA 20155-4841
(571) 283-5919
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2214
VA
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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