Individual
DR. SHENNELL JANUARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13785 LYNN ST, WOODBRIDGE, VA 22191-2125
(703) 595-5972
Mailing address
13785 LYNN ST, WOODBRIDGE, VA 22191-2125
(703) 595-5972
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
06/20/2013
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