Individual
MARY CAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708
(304) 593-5423
Mailing address
130 ROLLINS AVE APT 219, ROCKVILLE, MD 20852-4097
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004698
VA
Other
Enumeration date
10/13/2010
Last updated
06/22/2018
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