Individual
KATHY PHILYAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 619-8139
(000) 000-0000
Mailing address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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