| Reston Precision Neuropsychology Llc | |
|
441-d Carlisle Dr., Suite 103 Herndon VA 20170-4802 | |
| (703) 715-7130 | |
| (833) 520-4863 |
| Full Name | Reston Precision Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 441-d Carlisle Dr., Suite 103, Herndon, Virginia |
| Authorized Official Name and Position | Natalia Lugina Mauranne (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5715292663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reston Precision Neuropsychology Llc 11446 Hollow Timber Ct Reston VA 20194-1980 Ph: () - | Reston Precision Neuropsychology Llc 441-d Carlisle Dr., Suite 103 Herndon VA 20170-4802 Ph: (703) 715-7130 |
| NPI Number | 1831710755 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 06/07/2020 |
| Certification Date | 06/07/2020 |
| Medicare PECOS PAC ID | 3971924978 |
|---|---|
| Medicare Enrollment ID | O20200529001443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831710755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Natalia Lugina Mauranne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528527140 PECOS PAC ID: 4183957186 Enrollment ID: I20200604001488 |
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