| Stanton E. Samenow, Ph.d., P.c. | |
|
4921 Seminary Road Suite 104 Alexandria VA 22311 | |
| (703) 931-0004 | |
| (703) 379-7288 |
| Full Name | Stanton E. Samenow, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4921 Seminary Road, Alexandria, Virginia |
| Authorized Official Name and Position | Stanton E. Samenow (PRESIDENT) |
| Authorized Official Contact | 7039310004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanton E. Samenow, Ph.d., P.c. 4921 Seminary Road Alexandria VA 22311 Ph: (703) 931-0004 | Stanton E. Samenow, Ph.d., P.c. 4921 Seminary Road Suite 104 Alexandria VA 22311 Ph: (703) 931-0004 |
| NPI Number | 1780824243 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780824243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | VA. LIC. #621 (Virginia) | Primary |
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