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Contact Information

LA VENTANA PSYCHOLOGY
209 W MAIN ST
STE 2
LOUISA, VA23093
 Phone: 505-225-8867
 Fax: 505-933-7530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LA VENTANA PSYCHOLOGY · (Female)

NPI Number 1487290177
Status Active
Credentials
Entity Individual
Enumeration date 11/18/2019
Last updated 12/31/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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