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Dr. Wanna Prommart, PSYD
Psychologist in Alexandria, Virginia
NPI 1124151014

Wanna Prommart is a Psychologist based in Alexandria, VA. Wanna Prommart practices in Alexandria, VA and has the professional credentials of PSYD. The NPI Number for Wanna Prommart is 1124151014 and holds a License No. 0810003512 (Virginia).

The current practice location address for Wanna Prommart is 205 S Whiting St, Alexandria, VA and can be reached out via phone at 571-722-8872 and via fax at 703-212-8407.

Location: 205 S Whiting St, Alexandria, VA, 22304-2227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124151014
Provider Name
Wanna Prommart
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
205 S Whiting St, Alexandria, VA, 22304-2227
Phone Number
571-722-8872
Fax Number
703-212-8407
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11551672 01 ACQH
199902 01 ANTHEM BLUE CROSS BLUE SH
3403124 01 CIGNA
361274 01 MHN
027984 01 VMC BEHAVIOR HEALTH SERVI
3769 01 CAREFIRST BLUE CROSS BLUE
institution
Provider Business Practice Location Address Details
Address
205 S Whiting St
City
Alexandria
State
Virginia
Zip
22304-2227
Phone Number
571-722-8872
Fax Number
703-212-8407
person
Provider Business Mailing Address Details
Address
205 S Whiting St
City
Alexandria
State
Virginia
Zip
22304-2227
Phone Number
571-722-8872
Fax Number
703-212-8407
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
0810003512 (Virginia)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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