| El Rophe Psychological Solutions, Llc | |
|
904 Princess Anne St Ste 402 Fredericksburg VA 22401-5804 | |
| (785) 375-0375 | |
| (785) 375-0375 |
| Full Name | El Rophe Psychological Solutions, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 904 Princess Anne St Ste 402, Fredericksburg, Virginia |
| Authorized Official Name and Position | Laurencia C.d.l. Dusantos (OWNER) |
| Authorized Official Contact | 7853750375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Rophe Psychological Solutions, Llc 5030 Spinnaker Ln King George VA 22485-3160 Ph: (785) 375-0375 | El Rophe Psychological Solutions, Llc 904 Princess Anne St Ste 402 Fredericksburg VA 22401-5804 Ph: (785) 375-0375 |
| NPI Number | 1962921973 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 09/12/2017 |
| Medicare PECOS PAC ID | 6305198664 |
|---|---|
| Medicare Enrollment ID | O20181015002269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962921973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810005067 (Virginia) | Primary |
| Provider Name | Laurencia Dusantos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902074982 PECOS PAC ID: 6901158278 Enrollment ID: I20181015002781 |
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