| Ida Sue Baron, Ph.d., P.c. | |
|
1830 Town Center Dr Reston VA 20190-3292 | |
| (301) 340-2119 | |
| (301) 340-2119 |
| Full Name | Ida Sue Baron, Ph.d., P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1830 Town Center Dr, Reston, Virginia |
| Authorized Official Name and Position | Ida Sue Baron (PRESIDENT) |
| Authorized Official Contact | 3013402119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Sue Baron, Ph.d., P.c. 10116 Weatherwood Ct Potomac MD 20854-2173 Ph: (301) 340-2119 | Ida Sue Baron, Ph.d., P.c. 1830 Town Center Dr Reston VA 20190-3292 Ph: (301) 340-2119 |
| NPI Number | 1497972376 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497972376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 02300 (Maryland) | Primary |
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