| Drscd And Associates | |
|
19301 Winmeade Dr Ste 216 Leesburg VA 20176-6503 | |
| (703) 261-4346 | |
| Not Available |
| Full Name | Drscd And Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 19301 Winmeade Dr Ste 216, Leesburg, Virginia |
| Authorized Official Name and Position | Carol Williams Nickelson (CEO AND PARTNER) |
| Authorized Official Contact | 7032614346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drscd And Associates 21385 Glebe View Dr Broadlands VA 20148-3629 Ph: (703) 261-4346 | Drscd And Associates 19301 Winmeade Dr Ste 216 Leesburg VA 20176-6503 Ph: (703) 261-4346 |
| NPI Number | 1942945076 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942945076 | NPI | - | NPPES |
| 1922637982 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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