FOUNTAIN OF LIFE LLC

Clinical Psychologist

NPI: 1396286019Organization

Specialties, Licenses & Credentials

Clinical PsychologistPrimary

Psychologist — Clinical

Code: 103TC0700X

0810002980(VA)

Contact & Hours

Address: 450 W BROAD ST STE 211
FALLS CHURCH, VA 22046
Phone: (571) 277-4919

Quick Facts

NPI: 1396286019
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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