Dr Mittie Quinn, PHD is a
Psychologist - School based in Fairfax, Virginia. Dr Mittie Quinn is licensed to practice in Virginia (license number 0803000080) and her current practice location is
3925 Old Lee Hwy, Suite 52a, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 385-7575.
NPI number for Dr Mittie Quinn is 1760579197 and her current mailing address is 3925 Old Lee Hwy, Suite 52a, Fairfax, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760579197.
Healthcare Provider's Profile
| Full Name | Dr Mittie Quinn |
|---|
| Gender | Female |
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| Speciality | Psychologist - School |
|---|
| Location | 3925 Old Lee Hwy, Fairfax, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760579197
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 01/27/2011
Medical Identifiers
Medical identifiers for Dr Mittie Quinn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760579197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 0701003340 (Virginia) | Secondary |
| 103TS0200X | Psychologist - School | 0803000080 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mittie Quinn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mittie Quinn, PHD
3925 Old Lee Hwy, Suite 52a,
Fairfax, VA 22030-2426
Ph: (703) 385-7575 | Dr Mittie Quinn, PHD
3925 Old Lee Hwy, Suite 52a,
Fairfax, VA 22030-2426
Ph: (703) 385-7575 |
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