Organization
MOUNTAIN VIEW PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS GALLARO (OFFICE MANAGER)
(540) 433-2858
Entity
Organization
Contact information
Practice address
328 NEFF AVE, HARRISONBURG, VA 22801-3429
(540) 433-2858
(540) 433-1175
Mailing address
328 NEFF AVE, HARRISONBURG, VA 22801-3429
(540) 433-2858
(540) 433-1175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004403
VA
103TC0700X
Clinical Psychologist
0810004423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q36959A
MEDICARE PTAN
VA
01
—
Q39729A
MEDICARE PTAN
VA
Enumeration date
11/26/2012
Last updated
11/26/2012
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