| Tds Health Group Homes | |
|
4215 Dale Blvd Woodbridge VA 22193-2243 | |
| (703) 457-1049 | |
| Not Available |
| Full Name | Tds Health Group Homes |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 4215 Dale Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Stella N Kintu (DIRECTOR/ AUTHORIZED OFFICER) |
| Authorized Official Contact | 7034571049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tds Health Group Homes 4215 Dale Blvd Woodbridge VA 22193-2243 Ph: (703) 457-1049 | Tds Health Group Homes 4215 Dale Blvd Woodbridge VA 22193-2243 Ph: (703) 457-1049 |
| NPI Number | 1679269930 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679269930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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