Individual
NATALIA LUGINA MAURANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MA, PSYD
Contact information
Practice address
441D CARLISLE DR., SUITE 103, HERNDON, VA 20170-4802
(703) 715-7130
(833) 520-4863
Mailing address
11446 HOLLOW TIMBER CT, RESTON, VA 20194-1980
(571) 529-2663
(833) 520-4863
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810005747
VA
Other
Enumeration date
03/13/2019
Last updated
06/10/2020
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