Individual
CLAUDIA CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5717 SURVEYOR RD, FORT BELVOIR, VA 22060-1636
(580) 583-0907
Mailing address
1226 GREENWICH PASS, GROVETOWN, GA 30813-5865
(580) 583-0907
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005995
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/24/2015
Last updated
10/05/2018
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