Unknown Individual – Psychologist, NPI 1215046917
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
102, Heritage Way Northeast, Shenandoah Square, Leesburg, Loudoun County, Virginia, 20176, United States
SUITE 302
LEESBURG, VA 201764544
Phone: (703) 771-5172
Fax: (703) 777-0170
Mailing address matches the actual address.
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 20176)
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