Cognitive Consults And Technology Llc | |
3020 Hamaker Court, Suite 103 Neuropsychology Associates Of Fairfax Fairfax VA 22031 | |
(703) 876-0966 | |
(703) 876-1628 |
Full Name | Cognitive Consults And Technology Llc |
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Speciality | Clinical Neuropsychologist |
Location | 3020 Hamaker Court, Suite 103, Fairfax, Virginia |
Authorized Official Name and Position | Robert L Kane (CEO) |
Authorized Official Contact | 4108084667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cognitive Consults And Technology Llc 3604 Whitehaven Pkwy Nw Washington DC 20007 Ph: (410) 808-4667 | Cognitive Consults And Technology Llc 3020 Hamaker Court, Suite 103 Neuropsychology Associates Of Fairfax Fairfax VA 22031 Ph: (703) 876-0966 |
NPI Number | 1003330408 |
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Provider Enumeration Date | 07/28/2017 |
Last Update Date | 07/28/2017 |
Identifier | Type | State | Issuer |
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1003330408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 0810004396 (Virginia) | Primary |
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