Miranda Carlson
Psychologist, School in Fairfax, VA. Individual provider (NPI-1).
NPI number1982287553
StatusActive
Last updated in NPPESMay 3, 2021
Details
- NPI
- 1982287553
- Entity type
- Individual (NPI-1)
- Name
- Miranda Carlson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2021
- Certification date
- May 3, 2021
- Last updated
- May 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
8270 Willow Oaks Corporate DrFairfax, VA 22031-4530
Phone 571-423-4900
Mailing address
8270 Willow Oaks Corporate DrFairfax, VA 22031-4530
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