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Individual

DR. ANNA LETICIA VILLAVICENCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
519 9TH ST SE, WASHINGTON, DC 20003-2839
(202) 735-3625
Mailing address
519 9TH ST SE, WASHINGTON, DC 20003-2839
(202) 735-3625

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS01198
RI
103T00000X
Psychologist
PY60684527
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS01198
PS01198
RI
01
PY60684527
PSYCHOLOGIST LICENSE
WA
Enumeration date
03/06/2007
Last updated
09/02/2023
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