Individual
ELISABETH MARGARET JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
510 PRINCESS ANNE ST, SUITE 101, FREDERICKSBURG, VA 22401-6077
(540) 693-0096
Mailing address
510 PRINCESS ANNE ST STE 101, FREDERICKSBURG, VA 22401-6077
(540) 693-0096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004284
VA
Other
Enumeration date
08/13/2010
Last updated
12/20/2016
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