Individual
AMARILYS GALLOZA CARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9300 FOREST POINT CIR STE 122, MANASSAS, VA 20110-4765
(301) 891-9623
Mailing address
440 MONTICELLO AVE STE 1802, NORFOLK, VA 23510-2670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
07033
MD
103TC0700X
Clinical Psychologist
Primary
0810008274
VA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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