Susan Cook Maytorena, Ph.d., Plc | |
629 S Washington St Alexandria VA 22314-4109 | |
(703) 519-6770 | |
(703) 229-0801 |
Full Name | Susan Cook Maytorena, Ph.d., Plc |
---|---|
Speciality | Psychologist - Clinical |
Location | 629 S Washington St, Alexandria, Virginia |
Authorized Official Name and Position | Susan Cook Maytorena (OWNER) |
Authorized Official Contact | 7035196770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan Cook Maytorena, Ph.d., Plc 629 S Washington St Alexandria VA 22314-4109 Ph: (703) 519-6770 | Susan Cook Maytorena, Ph.d., Plc 629 S Washington St Alexandria VA 22314-4109 Ph: (703) 519-6770 |
NPI Number | 1689925489 |
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Provider Enumeration Date | 09/20/2012 |
Last Update Date | 09/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689925489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810000296 (Virginia) | Primary |
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