Individual
EMILY LYNN LOEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
300 CLAREMONT LN STE 103, CROZET, VA 22932-3455
(434) 466-1588
(866) 289-5249
Mailing address
106A LONGWOOD DR, CHARLOTTESVILLE, VA 22903-4314
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810006244
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810006244
STATE LICENSING BOARD
VA
Enumeration date
08/28/2017
Last updated
01/10/2023
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