Individual
VIRGINIA MARIE DEROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9530 LEE HWY, FAIRFAX, VA 22031-2308
(703) 861-9387
Mailing address
P.O. BOX 2019, FAIRFAX, VA 22031
(703) 861-9387
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810003965
VA
Other
Enumeration date
06/07/2013
Last updated
11/27/2023
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