Laurencia C.D.L. Dusantos, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005067 Issued in VA

Practice address

904 Princess Anne St Ste 402
Fredericksburg, VA 22401-5804

Phone

(785) 375-0375

Fax

(785) 375-0375

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1902074982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PRINCESS ANNE ST STE 402",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015804",
            "telephone_number": "405-322-2289",
            "fax_number": "540-479-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 PRINCESS ANNE ST STE 402",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015804",
            "telephone_number": "785-375-0375",
            "fax_number": "785-375-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9404 Sunset Ct",
            "address_2": "APT 435",
            "address_purpose": "LOCATION",
            "city": "Manassas Park",
            "state": "VA",
            "postal_code": "201118292",
            "country_code": "US",
            "telephone_number": "785-375-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSANTOS",
        "first_name": "LAURENCIA",
        "middle_name": "C.D.L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58956180",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Duong, DMD
• Son T Duong, D.D.S.
• Grace Duplantier
• Dudley A Dupuy Jr., MD
• Riley Durbano, DC, ATC
• Kathryn Duval, CCC-SLP
• Deanna Lyn Duvall, R.D.
• Morgan Dyess
• Dynamic Foot and Ankle Center
• Dynamic Foot and Ankle Center LLC (Dynamic Medical Centers)

• Clinical Psychologist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.