NPI 1114035250

Lisa Marie Doll, PSYD

Practitioner Clinical Psychologist Leesburg, VA

Practice location

Address: 102 Heritage Way NE Suite 302, Leesburg, VA 20176-4544
Phone: (703) 771-5100

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810003628 (VA)

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Registry record

NPI: 1114035250
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2006
Record last updated: 10 Sep 2007

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.