Individual
VICTORIA LAUREN GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
(540) 853-2502
Mailing address
770 TWISTED OAK DR NW, CHRISTIANSBURG, VA 24073-1124
(859) 333-1841
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001110
VA
Other
Enumeration date
09/22/2020
Last updated
10/12/2020
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