| Virginia Center For Neurosciences | |
|
19450 Deerfield Ave Suite 175 Leesburg VA 20176-6820 | |
| (703) 858-5454 | |
| (703) 858-4650 |
| Full Name | Virginia Center For Neurosciences |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 19450 Deerfield Ave, Leesburg, Virginia |
| Authorized Official Name and Position | Mary Beth Tamasy (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7037376010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Center For Neurosciences Po Box 17334 Baltimore MD 21297-1334 Ph: (703) 443-6717 | Virginia Center For Neurosciences 19450 Deerfield Ave Suite 175 Leesburg VA 20176-6820 Ph: (703) 858-5454 |
| NPI Number | 1790053171 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790053171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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