Individual
DR. SUSAN COOK MAYTORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
629 S. WASHINGTON ST., ALEXANDRIA, VA 22314
(703) 519-6770
(703) 229-0801
Mailing address
629 S. WASHINGTON ST., ALEXANDRIA, VA 22314
(703) 519-6770
(703) 229-0801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000296
VA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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