Dr. Kristi M Vivirito, PsyD
Psychologist in Reston, VA. Individual provider (NPI-1).
NPI number1962012013
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1962012013
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristi M Vivirito
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2020
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
1421 Wiehle AveReston, VA 20190-3830
Phone 540-316-0409
Mailing address
11151 Valleyview DrPo Box 501
Bristow, VA 20136-0501
Phone 406-580-5603
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All 9 Psychologist providers in Reston · All 2,193 providers in Reston
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