Individual
DR. JOHN D VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(410) 913-0610
Mailing address
2480 LLEWELLYN AVE, FT. MEADE, MD 20755
(410) 913-0610
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1040
AL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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