Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | PPS-0602198 | VA |
NPI | 1023508942 |
---|---|
Provider Name | Rebecca Sterrett |
First Address | Kilmarnock, VA 22482-2000 |
Second Address | Kilmarnock, VA 22482-3842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2018 |
Last Update Date | 16/05/2018 |