RESTORE LYFE LLC

Intellectual & Developmental Disabilities Psychologist · STAFFORD, VA

Organization Active NPI 1740002369

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual & Developmental Disabilities Psychologist	103TM1800X	✓	—	—
Community/Behavioral Health Agency	251S00000X		—	—

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.