Unknown Individual – Psychiatry Physician, NPI 1962580399
Psychiatry Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
20925, Professional Plaza, Ashburn Farm Professional Office Park, Ashburn Farm, Ashburn, Loudoun County, Virginia, 20147, United States
STE 230
ASHBURN, VA 201473403
Phone: (703) 621-7121
Type: Mailing
801, Childrens Center Road Southwest, Leesburg, Loudoun County, Virginia, 20175, United States
GRAYAN MANOR
LEESBURG, VA 20175
Phone: (703) 777-3485
Fax: (703) 777-4887
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20147)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| P S Y C H I A T R Y | MD | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| - | TN | |
| Clinical Social Worker | VA | |
| - | FL | |
| Mental Health Counselor | VA | |
| - | VA | |
| Nurse Practitioner | VA |
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