Organization
WELLSPRING CHILD AND FAMILY PSYCHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISABETH MARGARET JEROME PH.D. (DIRECTOR/PRESIDENT)
(540) 478-3253
Entity
Organization
Contact information
Practice address
615 EMANCIPATION HWY, STE 101, FREDERICKSBURG, VA 22401-8407
(540) 693-0096
Mailing address
615 EMANCIPATION HWY, STE 101, FREDERICKSBURG, VA 22401-8407
(540) 693-0096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004284
VA
Other
Enumeration date
08/04/2014
Last updated
01/07/2022
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