Organization
WELLSPRING CHILD AND FAMILY PSYCHOLOGY, PC
Active
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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