Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1043707375 |
---|---|
Provider Name | Melissa Lynn Ferrebee |
First Address | Woodstock, VA 22664-1856 |
Second Address | Woodstock, VA 22664-1856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2018 |
Last Update Date | 23/04/2018 |