| Doctor Name: | DR. CARYLL JEFFERIES SEMMLER |
| NPI Number: | 1093710485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 2775 |
| Business Practice Address: | 5675 Stone Rd #320 Centreville, VA - 20120 |
| Business Phone Number: | 7038295597 |
| Business Fax Number: | 7038300001 |
| Mailing Address: | 3318 Buckeye Ln, FAIRFAX |
| State: | VA |
| Postal Code: | 22033 |
| Phone Number: | 7038295597 |
| Fax Number: | 7038300001 |
| NPI Enumeration Date: | 06/14/2005 |
| NPI Last Update Date: | 11/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2775 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |