Individual provider · Type 1 NPI

Wanna Prommart, PSYD

Psychologist · Alexandria, VA

NPI number 1124151014 Active

Practice location

205 S Whiting St, Suite 601
Alexandria, VA 22304-2227

Call (571) 722-8872 Map

Fax (703) 212-8407

Mailing address

491 Naylor Pl
Alexandria, VA 22304-2227

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X0810003512 (VA)

Psychologist: 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 adjustmen…

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About NPI 1124151014

Wanna Prommart, PSYD's National Provider Identifier is 1124151014, issued on Mar 13, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Alexandria, VA. The record was last updated on Jul 8, 2007.