Individual
ELIZABETH MICHELLE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
44110 ASHBURN SHOPPING PLAZA, STE. 251, ASHBURN, VA 20147
(703) 723-2999
(703) 723-4144
Mailing address
3074 S GLEBE RD., ARLINGTON, VA 22206
(703) 723-2999
(703) 723-4144
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0803000234
VA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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