Dr. Jessica Lynn Cardwell, Psy.D.
Psychologist, Clinical in Manassas, VA. Individual provider (NPI-1).
NPI number1174778740
StatusActive
Last updated in NPPESMar 29, 2010
Details
- NPI
- 1174778740
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessica Lynn Cardwell
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2008
- Last updated
- Mar 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 0810004230 | VA | Yes |
| 103T00000X | Psychologist | 471 | WY |
Practice location
8140 Ashton AveSuite 200
Manassas, VA 20109-5698
Phone 307-763-2415 · Fax 703-368-8454
Mailing address
8140 Ashton AveSuite 200
Manassas, VA 20109-5698
Phone 307-763-2415 · Fax 703-368-8454
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