Individual
DR. REBECCA JANE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 N WASHINGTON ST # 314, FALLS CHURCH, VA 22046-3452
(703) 798-5748
(703) 894-3392
Mailing address
400 N WASHINGTON ST # 314, FALLS CHURCH, VA 22046-3452
(703) 798-5748
(703) 894-3392
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810003663
VA
103TC0700X
Clinical Psychologist
Primary
0810003663
VA
103TF0200X
Forensic Psychologist
0810003663
VA
Other
Enumeration date
07/24/2006
Last updated
12/25/2025
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