Organization
LA VENTANA PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE M WOOTTON PHD (SOLE OWNER)
(505) 225-8867
Entity
Organization
Contact information
Practice address
209 W MAIN ST, STE 2, LOUISA, VA 23093
(505) 225-8867
(505) 933-7530
Mailing address
PO BOX 739, LOUISA, VA 23093-0739
(505) 225-8867
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
12/31/2024
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