Virginia G Fass
NPI #1194846360 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1194846360
- Entity Type
- Individual
- Name
- Virginia G Fass
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Jan 22, 2013
Practice Location
- Address
- 2 MAIN ST
- Address 2
- SUITE 315
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-2035
- Phone
- (814) 362-5579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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