Individual
ANUPAMA T KOMMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
402 HOSPITAL DR, WARRENTON, VA 20186-3026
(571) 364-3095
(571) 260-0489
Mailing address
4441 CORRAL RD, WARRENTON, VA 20187-5820
(571) 364-3095
(540) 341-0922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134554793
NPI NUMBER
VA
05
—
1134554793
—
VA
Enumeration date
09/06/2013
Last updated
04/26/2024
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