Individual
SUSAN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
14455 JAMES MADISON HWY, PALMYRA, VA 22963-4136
(434) 510-1000
Mailing address
14455 JAMES MADISON HWY, PALMYRA, VA 22963-4136
(434) 510-1000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000684
VA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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