Individual
MAIA SELENA DEUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1489 CHAIN BRIDGE RD, SUITE 203, MC LEAN, VA 22101-5724
(703) 447-6788
Mailing address
1489 CHAIN BRIDGE RD, SUITE 203, MC LEAN, VA 22101-5724
(703) 447-6788
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003490
VA
Other
Enumeration date
01/01/2007
Last updated
05/13/2010
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