Organization
SUSAN COOK MAYTORENA, PH.D., PLC
Active
Organization
SUSAN COOK MAYTORENA, PH.D., PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN COOK MAYTORENA PH.D. (OWNER)
(703) 519-6770
Entity
Organization
Contact information
Practice address
629 S WASHINGTON ST, ALEXANDRIA, VA 22314-4109
(703) 519-6770
(703) 229-0801
Mailing address
629 S WASHINGTON ST, ALEXANDRIA, VA 22314-4109
(703) 519-6770
(703) 229-0801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000296
VA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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