Organization
SPORT PSYENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER RONAI CARGILL PSY.D. (LICENSED PSYCHOLOGIST/CEO)
(703) 594-6585
Entity
Organization
Contact information
Practice address
5 S MONTAGUE ST, ARLINGTON, VA 22204-1007
(703) 594-6585
Mailing address
5 S MONTAGUE ST, ARLINGTON, VA 22204-1007
(703) 594-6585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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