Individual
GLADYS M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LCP
Contact information
Practice address
20098 ASHBROOK PL STE 255, ASHBURN, VA 20147-3394
(804) 207-6737
Mailing address
9202 CENTER OAK CT, MECHANICSVILLE, VA 23116-2744
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007686
VA
103TC0700X
Clinical Psychologist
37088
TX
Other
Enumeration date
07/15/2015
Last updated
12/29/2023
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