Individual
JESSICA BROOKE VIRZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3401 CULLEN DR, AMES, IA 50010-1164
(440) 570-6910
Mailing address
3401 CULLEN DR, AMES, IA 50010-1164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
081009
IA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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