Individual
DR. DIANA GAYDUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13712 SPRINGSTONE CT, CLIFTON, VA 20124-2365
(703) 755-0689
Mailing address
13712 SPRINGSTONE CT, CLIFTON, VA 20124-2365
(518) 369-4723
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
08/11/2021
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