| Applied Neuropsychological Services, P.c. | |
|
11130 Fairfax Blvd. Suite 200 Fairfax VA 22030-5017 | |
| (703) 879-5130 | |
| (703) 635-3681 |
| Full Name | Applied Neuropsychological Services, P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 11130 Fairfax Blvd. Suite 200, Fairfax, Virginia |
| Authorized Official Name and Position | Mercedes Helena Alfaro (OWNER) |
| Authorized Official Contact | 7038795130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Neuropsychological Services, P.c. Po Box 640 Centreville VA 20122-0640 Ph: (703) 879-5130 | Applied Neuropsychological Services, P.c. 11130 Fairfax Blvd. Suite 200 Fairfax VA 22030-5017 Ph: (703) 879-5130 |
| NPI Number | 1730525205 |
|---|---|
| Provider Enumeration Date | 05/10/2013 |
| Last Update Date | 09/06/2020 |
| Certification Date | 09/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730525205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810003332 (Virginia) | Primary |
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