KIM HAVENNER

FAIRFAX, VA
NPI1972933364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  0810004884)
Enumeration Date2013-11-21
Last Update Date2013-11-21
Business Address
Dr. KIM HAVENNER Psy.D.
10805 MAIN ST STE 500
FAIRFAX, VA 22030-4747
Phone number: 703-283-4153
Mailing Address
Dr. KIM HAVENNER Psy.D.
10714 SCOTT DR
FAIRFAX, VA 22030-3023
Phone number: 703-283-4153