Individual
DR. LAURENCIA C.D.L. DUSANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
904 PRINCESS ANNE ST STE 402, FREDERICKSBURG, VA 22401-5804
(785) 375-0375
(785) 375-0375
Mailing address
904 PRINCESS ANNE ST STE 402, FREDERICKSBURG, VA 22401-5804
(405) 322-2289
(540) 479-3282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005067
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58956180
—
MD
Enumeration date
02/13/2008
Last updated
03/19/2019
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