Individual
DR. ELIZABETH ANN BERENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10560 MAIN ST, SUITE 507, FAIRFAX, VA 22030-7182
(703) 691-1326
(703) 691-3553
Mailing address
10560 MAIN ST, SUITE 507, FAIRFAX, VA 22030-7182
(703) 691-1326
(703) 691-3553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004235
VA
103TC0700X
Clinical Psychologist
847
NM
103TC0700X
Clinical Psychologist
PSY 14503
CA
Other
Enumeration date
03/14/2007
Last updated
11/22/2010
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