Individual
DR. GINA ELLEN HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6845 ELM ST, SUITE 710, MC LEAN, VA 22101-6007
(703) 734-4945
(703) 734-1441
Mailing address
6845 ELM ST, SUITE 710, MC LEAN, VA 22101-6007
(703) 734-4945
(703) 734-1441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1770
VA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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