Individual
DR. KRISTI M VIVIRITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1421 WIEHLE AVE, RESTON, VA 20190-3830
(540) 316-0409
Mailing address
11151 VALLEYVIEW DR, PO BOX 501, BRISTOW, VA 20136-0501
(406) 580-5603
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
07/25/2024
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