Individual
DR. NANCY CAROL FRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
513 MAPLE AVE W, VIENNA, VA 22180-4238
(703) 938-4100
(703) 281-4757
Mailing address
513 MAPLE AVE W, VIENNA, VA 22180-4238
(703) 938-4100
(703) 281-4757
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810000753
VA STATE LICENSE
VA
Enumeration date
01/08/2007
Last updated
08/22/2007
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