Individual
LISA R QUERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
501 PRINCE GEORGE ST, SUITE 206, WILLIAMSBURG, VA 23185-3664
(757) 784-1422
(757) 819-0537
Mailing address
501 PRINCE GEORGE ST, SUITE 206, WILLIAMSBURG, VA 23185-3664
(757) 784-1422
(757) 819-0537
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004015
VA
Other
Enumeration date
09/30/2016
Last updated
10/28/2016
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