Most Relevant Information
Provider Data
| NPI Number: | 1003264722 |
| Provider Name: | ELIZABETH SUE WYMAN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0701008278 |
Most Important Dates
| Enumeration Date: | 06/03/2016 |
| Last Updated: | 09/13/2023 |
Provider Practice Location
4899 PRINCE WILLIAM PKWY
WOODBRIDGE
VA
221925434
Practice Location Phone/Fax
| Phone: | 8335104357 |
| Fax: |
Provider Mailing Location
4600 MONTGOMERY RD STE 400
CINCINNATI
OH
452122600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |