Dr Ida Sue Baron, PHD is a
Clinical Neuropsychologist based in Reston, Virginia. Dr Ida Sue Baron is licensed to practice in Virginia (license number 0810002315) and her current practice location is
1830 Town Center Dr, Reston, Virginia. She can be reached at her office (for appointments etc.) via phone at
(301) 340-2119.
NPI number for Dr Ida Sue Baron is 1225255102 and her current mailing address is 10116 Weatherwood Ct, Potomac, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225255102.
Healthcare Provider's Profile
| Full Name | Dr Ida Sue Baron |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 1830 Town Center Dr, Reston, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225255102
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Ida Sue Baron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225255102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 02300 (Maryland) | Primary |
| 103TC0700X | Psychologist - Clinical | 0810002315 (Virginia) | Primary |
| 103G00000X | Clinical Neuropsychologist | 02300 (Maryland) | Primary |
| 103G00000X | Clinical Neuropsychologist | 0810002315 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ida Sue Baron is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ida Sue Baron, PHD
10116 Weatherwood Ct,
Potomac, MD 20854-2173
Ph: (301) 340-2119 | Dr Ida Sue Baron, PHD
1830 Town Center Dr,
Reston, VA 20190-3292
Ph: (301) 340-2119 |
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