Individual
DR. ALISA M ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11244 WAPLES MILL RD, SUITE D-1, FAIRFAX, VA 22030-6040
(703) 385-0196
(703) 385-0197
Mailing address
6101 KINGS COLOR DR, FAIRFAX, VA 22030-5916
(703) 385-0196
(703) 385-0197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001888
VA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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