Whalio Doctors

NPI 1104228121

Sofia Graham, PSYD

Practitioner Clinical Psychologist Leesburg, VA

Practice location

Address
222 Catoctin Cir SE STE 126, Leesburg, VA 20175-3730
Phone
(714) 771-6135
Mailing address
24400 Moon Glade CT, Aldie, VA 20105-3148

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810005529 (VA)

Registry record

NPI
1104228121
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Sep 2014
Record last updated
5 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.