Individual
VIRGINIA GALLUP LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D; LCP
Contact information
Practice address
8401 GREENSBORO DR STE 550, MC LEAN, VA 22102-5146
(703) 447-7728
Mailing address
21071 STANFORD SQ APT 302, STERLING, VA 20166-2465
(703) 447-7728
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810007625
VA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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