Individual
DR. CHARLES PETER CERUTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8630 CROMWELL DR, SPRINGFIELD, VA 22151-1209
(703) 764-0519
Mailing address
8630 CROMWELL DR, SPRINGFIELD, VA 22151-1209
(703) 764-1509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002293
VA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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