| Neuropsychology At Burke, Llc | |
|
9408 Raintree Rd Burke VA 22015-1946 | |
| (703) 426-7246 | |
| (703) 426-4223 |
| Full Name | Neuropsychology At Burke, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9408 Raintree Rd, Burke, Virginia |
| Authorized Official Name and Position | Paul Fedio (PRESIDENT) |
| Authorized Official Contact | 7034267246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology At Burke, Llc 9408 Raintree Rd Burke VA 22015-1946 Ph: (703) 426-7246 | Neuropsychology At Burke, Llc 9408 Raintree Rd Burke VA 22015-1946 Ph: (703) 426-7246 |
| NPI Number | 1750698239 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750698239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810002714 (Virginia) | Primary |
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