| Mindful One Llc | |
|
5921 Hall St Springfield VA 22152-1402 | |
| (571) 332-9095 | |
| Not Available |
| Full Name | Mindful One Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5921 Hall St, Springfield, Virginia |
| Authorized Official Name and Position | Mala K Tandon (DIRECTOR) |
| Authorized Official Contact | 5713329095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful One Llc 5921 Hall St Springfield VA 22152-1402 Ph: (571) 332-9095 | Mindful One Llc 5921 Hall St Springfield VA 22152-1402 Ph: (571) 332-9095 |
| NPI Number | 1902423114 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 07/03/2020 |
| Certification Date | 07/03/2020 |
| Medicare PECOS PAC ID | 8426471251 |
|---|---|
| Medicare Enrollment ID | O20200722000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902423114 | NPI | - | NPPES |
| Provider Name | Mala K Tandon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609105188 PECOS PAC ID: 9335562164 Enrollment ID: I20200722000062 |
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