Organization · Type 2 NPI
Restore Lyfe LLC
Intellectual & Developmental Disabilities Psychologist · Stafford, VA
NPI number
1740002369
Active
Practice location
22 Chadwick Dr
Stafford, VA 22556-4622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
Another provider at this address
About NPI 1740002369
Restore Lyfe LLC's National Provider Identifier is 1740002369, issued on Oct 25, 2024. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Stafford, VA. The record was last updated on Oct 25, 2024.