Prommart, Wanna

Prommart, Wanna is an individual health care provider with primary practice located at 205 S Whiting St Suite 601, Alexandria VA 22304-2227. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Prommart, Wanna can be contacted via phone (571) 722-8872.

Contact Information

Primary practice address
205 S Whiting St Suite 601 Alexandria VA 22304-2227
Phone: (571) 722-8872
Fax: (703) 212-8407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810003512 Virginia

Profile Details

NPI number 1124151014
LBN Legal business name Prommart, Wanna
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124151014 NPPES
Other 11551672 ACQH
Other 199902 ACQH
Other 3403124 ACQH
Other 361274 ACQH
Other 027984 ACQH
Other 3769 ACQH

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