Individual
ANDREW INTAGLIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 706-4460
Mailing address
8326 LINDSIDE WAY, SPRINGFIELD, VA 22153-3523
(540) 810-4174
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0603682
VA
103TS0200X
School Psychologist
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—
Other
Enumeration date
04/22/2018
Last updated
09/03/2024
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