Organization
PHOENIX HEALTHCARE OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONDRA HARRY (OWNER)
(540) 898-8812
Entity
Organization
Contact information
Practice address
904 PRINCESS ANNE ST, SUITE 301, FREDERICKSBURG, VA 22401-5801
(540) 898-8812
Mailing address
904 PRINCESS ANNE ST, SUITE 301, FREDERICKSBURG, VA 22401-5801
(540) 898-8812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810003951
VA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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