Individual
VICTORIA LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 WINWOOD DR, CHESAPEAKE, VA 23323-3213
(757) 401-0911
Mailing address
523 WINWOOD DR, CHESAPEAKE, VA 23323-3213
(757) 401-0911
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
7042
VA
Other
Enumeration date
01/20/2023
Last updated
03/10/2023
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