Individual
MS. KATELYN BODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 CONCERT DR, VIRGINIA BEACH, VA 23456-8088
(757) 648-5500
Mailing address
641 CARRIAGE HILL RD, VIRGINIA BEACH, VA 23452-6546
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0607873
VA
Other
Enumeration date
01/30/2023
Last updated
09/03/2024
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