Brynnan Reddy, Llc | |
8440 Old Keene Mill Rd Springfield VA 22152-2302 | |
(703) 569-1300 | |
Not Available |
Full Name | Brynnan Reddy, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 8440 Old Keene Mill Rd, Springfield, Virginia |
Authorized Official Name and Position | Brynnan Reddy (OWNER) |
Authorized Official Contact | 5713888842 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brynnan Reddy, Llc 8323 Kingsgate Rd Springfield VA 22152-1132 Ph: (571) 388-8842 | Brynnan Reddy, Llc 8440 Old Keene Mill Rd Springfield VA 22152-2302 Ph: (703) 569-1300 |
NPI Number | 1417333923 |
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Provider Enumeration Date | 08/06/2015 |
Last Update Date | 08/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417333923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701005819 (Virginia) | Primary |
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