Individual
AISHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(703) 777-0800
Mailing address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(703) 777-0800
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810004896
VA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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