Individual
DR. SUSAN AMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3020 HAMAKER CT, SUITE 103, FAIRFAX, VA 22031-2238
(703) 559-4098
(703) 876-1682
Mailing address
3020 HAMAKER CT, SUITE 103, FAIRFAX, VA 22031-2238
(703) 559-4098
(703) 876-1682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005265
VA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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