| Evolvinn Therapy | |
|
8504 Laroque Run Dr Fredericksburg VA 22407-1932 | |
| (703) 520-7878 | |
| Not Available |
| Full Name | Evolvinn Therapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8504 Laroque Run Dr, Fredericksburg, Virginia |
| Authorized Official Name and Position | Laurie Dos Santos (FOUNDER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7035207878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolvinn Therapy 1390 Chain Bridge Rd # 50032 Mc Lean VA 22101-3904 Ph: (703) 520-7878 | Evolvinn Therapy 8504 Laroque Run Dr Fredericksburg VA 22407-1932 Ph: (703) 520-7878 |
| NPI Number | 1104696467 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104696467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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