Individual
MS. JANETTE MARIE MANCE-KHOUREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
321 DUKE ST APT 112, NORFOLK, VA 23510-1267
(330) 309-3127
Mailing address
321 DUKE ST APT 112, NORFOLK, VA 23510-1267
(330) 309-3127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004898
VA
Other
Enumeration date
12/31/2009
Last updated
11/21/2013
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