Individual
DR. MARIA VELTSISTAS KANAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
115 PARK ST SE, SUITE 207, VIENNA, VA 22180-4653
(703) 938-9090
(703) 938-9091
Mailing address
115 PARK ST SE, SUITE 207, VIENNA, VA 22180-4653
(703) 938-9090
(703) 938-9091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003850
VA
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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