Individual
DR. TARA LUV TRAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11733 BOWMAN GREEN DR STE 200, RESTON, VA 20190-3501
(724) 664-9943
Mailing address
11733 BOWMAN GREEN DR STE 200, RESTON, VA 20190-3501
(724) 664-9943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016169
PA
103TC0700X
Clinical Psychologist
Primary
0810004442
VA
Other
Enumeration date
08/04/2011
Last updated
12/24/2024
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