Doctor Name: | MS. LYNN MARIE FRITTS |
NPI Number: | 1003966946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0701003871 |
Business Practice Address: | 720 N Saint Asaph St Alexandria, VA - 223141912 |
Business Phone Number: | 7038386400 |
Business Fax Number: | 7038385062 |
Mailing Address: | 13520 Pennsboro Dr, CHANTILLY |
State: | VA |
Postal Code: | 201512722 |
Phone Number: | 7035050521 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701003871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |