| Brain Injury Servcies | |
|
8136 Old Keene Mill Rd Suite B102 Springfield VA 22152-1850 | |
| (703) 451-8881 | |
| (703) 451-8820 |
| Full Name | Brain Injury Servcies |
|---|---|
| Speciality | Psychiatry & Neurology - Brain Injury Medicine |
| Location | 8136 Old Keene Mill Rd, Springfield, Virginia |
| Authorized Official Name and Position | Donna A. Meltzer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7034518881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Injury Servcies 8136 Old Keene Mill Rd Suite B102 Springfield VA 22152-1850 Ph: (703) 451-8881 | Brain Injury Servcies 8136 Old Keene Mill Rd Suite B102 Springfield VA 22152-1850 Ph: (703) 451-8881 |
| NPI Number | 1215316138 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215316138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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