Applied Neuropsychological Services Pc | |
3930 Pender Dr Suite 320 Fairfax VA 22030-0985 | |
(703) 879-5130 | |
(703) 635-3681 |
Full Name | Applied Neuropsychological Services Pc |
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Speciality | Clinical Neuropsychologist |
Location | 3930 Pender Dr, Fairfax, Virginia |
Authorized Official Name and Position | Mercedes Helena Alfaro (OWNER AND SOLE DIRECTOR) |
Authorized Official Contact | 7038795130 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Applied Neuropsychological Services Pc Po Box 640 Centreville VA 20122-0640 Ph: () - | Applied Neuropsychological Services Pc 3930 Pender Dr Suite 320 Fairfax VA 22030-0985 Ph: (703) 879-5130 |
NPI Number | 1598085722 |
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Provider Enumeration Date | 06/10/2010 |
Last Update Date | 06/10/2010 |
Identifier | Type | State | Issuer |
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1598085722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 0810003332 (Virginia) | Primary |
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