Organization
JACLYN MOURAS, PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN MOURAS PSYD (MANAGING CONTROL)
(484) 883-4923
Entity
Organization
Contact information
Practice address
27 STONERIDGE DR STE A01, WAYNESBORO, VA 22980-6583
(540) 221-1846
Mailing address
81 BROAD ST, HARRISONBURG, VA 22802-4119
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639805708
NPI
—
Enumeration date
09/05/2022
Last updated
09/05/2022
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