John Joseph Gualtieri, Ph.d., P.c. | |
1515 Chain Bridge Rd Suite G14 Mc Lean VA 22101-4451 | |
(703) 790-8111 | |
(703) 356-1453 |
Full Name | John Joseph Gualtieri, Ph.d., P.c. |
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Speciality | Psychologist - Clinical |
Location | 1515 Chain Bridge Rd, Mc Lean, Virginia |
Authorized Official Name and Position | John Joseph Gualtieri (DIRECTOR) |
Authorized Official Contact | 7037908111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John Joseph Gualtieri, Ph.d., P.c. 1515 Chain Bridge Rd Suite G14 Mc Lean VA 22101-4451 Ph: (703) 790-8111 | John Joseph Gualtieri, Ph.d., P.c. 1515 Chain Bridge Rd Suite G14 Mc Lean VA 22101-4451 Ph: (703) 790-8111 |
NPI Number | 1366743460 |
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Provider Enumeration Date | 11/05/2010 |
Last Update Date | 11/05/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366743460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810001429 (Virginia) | Primary |
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