Individual
CAITLYN REIS OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
810 REID ST, STAUNTON, VA 24401-1764
(804) 651-5201
Mailing address
810 REID ST, STAUNTON, VA 24401-1764
(804) 651-5201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810008061
VIRGINIA BOARD OF PSYCHOLOGY LICENSE
VA
Enumeration date
01/06/2023
Last updated
01/06/2023
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