Individual
NANCY CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
1400 MELBOURNE RD, CHARLOTTESVILLE, VA 22901-3148
(434) 245-2650
Mailing address
1400 MELBOURNE RD, CHARLOTTESVILLE, VA 22901-3148
(434) 245-2650
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000057
VA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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