Individual
ALLY D MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10706 CEDAR POST LANE, SPOTSYLVANIA, VA 22553-2255
(540) 905-5090
Mailing address
107 NORTHAMPTON BLVD, STAFFORD, VA 22554
(540) 905-5090
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PPS-0607879
VA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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