| Mid-atlantic Psychotherapy, Pllc | |
|
13507 Glendundee Dr Herndon VA 20171-3321 | |
| (917) 710-1346 | |
| Not Available |
| Full Name | Mid-atlantic Psychotherapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13507 Glendundee Dr, Herndon, Virginia |
| Authorized Official Name and Position | Christina Jo Moynihan (OWNER) |
| Authorized Official Contact | 9177101346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-atlantic Psychotherapy, Pllc 13507 Glendundee Dr Herndon VA 20171-3321 Ph: (917) 710-1346 | Mid-atlantic Psychotherapy, Pllc 13507 Glendundee Dr Herndon VA 20171-3321 Ph: (917) 710-1346 |
| NPI Number | 1922783125 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922783125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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