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Individual

DR. BEVERLY ANN PARKER-LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
712 PINE ST, HERNDON, VA 20170-4603
(703) 405-7278
Mailing address
104 HERNDON MILL CIR, HERNDON, VA 20170-4478
(703) 405-7278

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003935
VA

Other

Enumeration date
04/09/2014
Last updated
04/09/2014
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