Individual
DAVID WEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6611 JEFFERSON ST STE 304, HAYMARKET, VA 20169
(703) 664-8041
Mailing address
1501 LYTLE ST, LOUISVILLE, KY 40203-1071
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005917
VA
Other
Enumeration date
03/25/2008
Last updated
09/13/2018
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