| Patrice A. Alvarado, Phd Llc | |
|
9246b Mosby St Manassas VA 20110-5038 | |
| (571) 248-2145 | |
| Not Available |
| Full Name | Patrice A. Alvarado, Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9246b Mosby St, Manassas, Virginia |
| Authorized Official Name and Position | Patrice A Alvarado (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5712482145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrice A. Alvarado, Phd Llc 9061 Ribbon Falls Loop Bristow VA 20136-6132 Ph: (703) 470-3875 | Patrice A. Alvarado, Phd Llc 9246b Mosby St Manassas VA 20110-5038 Ph: (571) 248-2145 |
| NPI Number | 1124641725 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Medicare PECOS PAC ID | 9032533948 |
|---|---|
| Medicare Enrollment ID | O20200724002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124641725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patrice A Alvarado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154622934 PECOS PAC ID: 9133365729 Enrollment ID: I20130426000676 |
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