Individual
BRITTANY LEE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 CLARKE DR, VIRGINIA BEACH, VA 23456-7919
(713) 397-0591
Mailing address
3005 CLARKE DR, VIRGINIA BEACH, VA 23456-7919
(713) 397-0591
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813001038
—
VA
Enumeration date
09/30/2019
Last updated
11/05/2020
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