Individual
DR. LAUREN KING WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1768 BUSINESS CENTER DR STE 360, RESTON, VA 20190-5358
(703) 662-3637
(703) 437-6872
Mailing address
1768 BUSINESS CENTER DR STE 360, RESTON, VA 20190-5358
(703) 662-3637
(703) 437-6872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005020
VA
Other
Enumeration date
07/15/2014
Last updated
09/13/2021
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