Renee E Sexton, SCHOOL PSYCHOLOGIST

Individual provider Active NPI School Psychologist · Stanleytown, VA

NPI 1639679798 · NPPES record last updated Feb 15, 2018

Key facts

NPI
1639679798
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
0813000911 (VA)
Practice address
74 Edgewood Dr
Stanleytown, VA 24168-3001
Phone
(276) 634-4700
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0813000911VAMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813000911 VA Yes

Addresses

Primary practice location

74 Edgewood Dr
Stanleytown, VA 24168-3001

Mailing address

5201 Bold Springs Rd
South Boston, VA 24592-7035
Phone (276) 634-4700

Other providers in Stanleytown, VA

All providers in Stanleytown, VA · School Psychologist in Virginia

Sources for this page

Verify at the official NPI Registry.