DR. Lisa Bethany Magazine, PHD

NPI #1154503217 in Prince George, Virginia

Provider Information

NPI Number
1154503217
Entity Type
Individual
Name
DR. Lisa Bethany Magazine, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Nov 30, 2007
Last Updated
Nov 30, 2007

Practice Location

Address
6610 COMMONS DR
Address 2
STE #103
ZIP Code
23875-2528
Phone
(804) 722-0620

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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