| Jack A Merenda, Psy.d., Inc. | |
|
9306 Old Keene Mill Rd B Burke VA 22015-4280 | |
| (703) 474-8905 | |
| Not Available |
| Full Name | Jack A Merenda, Psy.d., Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9306 Old Keene Mill Rd, Burke, Virginia |
| Authorized Official Name and Position | Jack Allen Merenda (PRESIDENT) |
| Authorized Official Contact | 7034748905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack A Merenda, Psy.d., Inc. 9306 Old Keene Mill Rd B Burke VA 22015-4280 Ph: (703) 474-8905 | Jack A Merenda, Psy.d., Inc. 9306 Old Keene Mill Rd B Burke VA 22015-4280 Ph: (703) 474-8905 |
| NPI Number | 1083006365 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083006365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0810005120 (Virginia) | Primary |
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