Individual
EVA L ABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
324 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2834
(757) 503-7917
(855) 823-3243
Mailing address
324 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2834
(757) 503-7916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004226
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810004226
LICENSE NUMBER (FOR CLINICAL PSYCHOLOGIST)
VA
Enumeration date
08/01/2008
Last updated
01/29/2024
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