Dr Michelle Rad, LCP, PSYD, MA | |
43803 Michener Dr, Ashburn, VA 20147-5807 | |
(703) 443-4924 | |
Not Available |
Full Name | Dr Michelle Rad |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 43803 Michener Dr, Ashburn, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720459746 | NPI | - | NPPES |
0810005315 | Other | VA | LICENSED CLINICAL PSYCHOLOGIST, VA BOARD OF PSYCHOLOGY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810005315 (Virginia) | Primary |
Entity Name | Evidence Based Consultation Llc Ebc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639783574 PECOS PAC ID: 8224404728 Enrollment ID: O20221025002890 |
Entity Name | Self Knowledge Base And Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780467993 PECOS PAC ID: 3971946617 Enrollment ID: O20240208004426 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle Rad, LCP, PSYD, MA 43803 Michener Dr, Ashburn, VA 20147-5807 Ph: (703) 443-4924 | Dr Michelle Rad, LCP, PSYD, MA 43803 Michener Dr, Ashburn, VA 20147-5807 Ph: (703) 443-4924 |
Dr. Rex Russell Vogan Ii, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 44121 Harry Byrd Hwy, Suite 255, Ashburn, VA 20147 Phone: 410-507-3777 | |
Dr. Sonya P. Rupatelia, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20925 Professional Plz, Suite 230, Ashburn, VA 20147 Phone: 703-858-9841 Fax: 703-858-9697 | |
Dr. Marlena Mceachron, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 44075 Pipeline Plz Ste 300, Ashburn, VA 20147 Phone: 571-250-0735 | |
Dr. Kathleen Diane Kozma, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20604 Gordon Park Sq, #190, Ashburn, VA 20147 Phone: 703-726-7544 | |
Teri Ann Kimball, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23115 Learning Cir, Ashburn, VA 20148 Phone: 571-252-2414 | |
Dr. Albert Jerome, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 44110 Ashburn Shopping Plaza, Ashburn, VA 20147 Phone: 703-723-2999 | |
Dr. Ruth Sumathi Stephen, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20925 Professional Plz Ste 230, Ashburn, VA 20147 Phone: 703-858-7838 Fax: 703-858-9697 |