Organization
KEY ASSESSMENTS AND SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY MUNTZ FISCH PH.D. (CLINICAL DIRECTOR)
(703) 898-2287
Entity
Organization
Contact information
Practice address
7404 GALLERHER RD, GAINESVILLE, VA 20155-1602
(703) 898-2287
(703) 991-0884
Mailing address
PO BOX 121, GAINESVILLE, VA 20156-0121
(703) 898-2287
(703) 991-0884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000368
VA
Other
Enumeration date
03/27/2007
Last updated
09/28/2007
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