Individual
DR. JACQUELINE PACELLA JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1221 KING ST, ALEXANDRIA, VA 22314-2926
(571) 478-9499
Mailing address
107 S WEST ST # 519, ALEXANDRIA, VA 22314-2824
(571) 478-9499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810007512
VA
Other
Enumeration date
04/29/2013
Last updated
05/06/2025
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