Individual
DR. CHRISTINA M LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11484 WASHINGTON PLZ W, SUITE 300, RESTON, VA 20190-4344
(703) 531-3726
Mailing address
320 PINK AZALEA TER SE, LEESBURG, VA 20175-5434
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004643
VA
Other
Enumeration date
09/14/2012
Last updated
04/22/2013
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