Individual
DR. CAROL JUNE ERDWINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
133 PARK STREET, NE, VIENNA, VA 22180-4602
(703) 281-2657
(703) 242-0014
Mailing address
133 PARK STREET, NE, VIENNA, VA 22180-4602
(703) 281-2657
(703) 242-0014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002355
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810002355
STATE LICENSE
VA
Enumeration date
05/03/2007
Last updated
07/08/2007
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