Individual
DR. MARY ISKAROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
633D MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 764-6840
Mailing address
633D MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 764-6840
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004931
VA
Other
Enumeration date
11/17/2017
Last updated
03/17/2018
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