Individual
DR. JEFFERY RYAN SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 303-8524
Mailing address
401 CARPENTER RD, FORT MYER, VA 22211-1009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007203
IL
Other
Enumeration date
05/16/2007
Last updated
07/29/2024
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