| Cognitive Solutions Llc | |
|
10400 Eaton Pl Ste 225 Fairfax VA 22030-2210 | |
| (202) 903-4763 | |
| (202) 333-0366 |
| Full Name | Cognitive Solutions Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 10400 Eaton Pl Ste 225, Fairfax, Virginia |
| Authorized Official Name and Position | Stephanie Renee Johnson (OWNER) |
| Authorized Official Contact | 2029034763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Solutions Llc 1025 Thomas Jefferson St. Nw Suite 420 East Washington DC 20007 Ph: (202) 903-4763 | Cognitive Solutions Llc 10400 Eaton Pl Ste 225 Fairfax VA 22030-2210 Ph: (202) 903-4763 |
| NPI Number | 1720316755 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 6507905387 |
|---|---|
| Medicare Enrollment ID | O20091208000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720316755 | NPI | - | NPPES |
| Provider Name | Stephanie Renee Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023248226 PECOS PAC ID: 6507905379 Enrollment ID: I20190711001530 |
| Provider Name | Dana Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104282748 PECOS PAC ID: 9830494947 Enrollment ID: I20230419003187 |
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