Individual
AMY AUSSIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 PINE ST STE 9, HILLSVILLE, VA 24343-1463
(276) 730-3200
Mailing address
605 PINE ST STE 9, HILLSVILLE, VA 24343-1463
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4967
TX
103TS0200X
School Psychologist
0813000302
VA
103TS0200X
School Psychologist
Primary
PPS-0600486
VA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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