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Individual

ALEXANDRA YADIRA CAMPOS MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3505
Mailing address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
002838
PR
103TC0700X
Clinical Psychologist
Primary
0810005167
VA

Other

Enumeration date
05/10/2012
Last updated
06/20/2024
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