Individual
MARKITA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
831 GROVE RD STE C, MIDLOTHIAN, VA 23114
(804) 743-0960
Mailing address
7501 LADY BLAIR LN, NORTH CHESTERFIELD, VA 23236-5074
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810004734
VA
103TF0200X
Forensic Psychologist
0810004734
VA
Other
Enumeration date
09/15/2010
Last updated
08/07/2018
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