Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810007397 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810007397 | VA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1316331036 |
---|---|
Provider Name | Sharon Arvelo |
First Address | Burke, VA 22015-1688 |
Second Address | Burke, VA 22015-1688 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2015 |
Last Update Date | 09/06/2021 |