Barry B Ekdom Phd in Fairfax - Clinical Neuropsychologist
Barry B Ekdom Phd - NPI 1194804914
Barry B Ekdom Phd is a Clinical Neuropsychologist in Fairfax, Virginia. Barry B Ekdom Phd practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Barry B Ekdom Phd is 1194804914. The last update date is 2020-08-22.
Barry B Ekdom Phd's current location address is 3040 Williams Dr, Fairfax, Virginia. You can contact this provider via phone number 7035733575 and fax number 7035733574. The mailing address for Barry B Ekdom Phd is 3040 Williams Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Barry B Ekdom Phd |
|---|---|
| Address | 3040 Williams Dr, Fairfax, Virginia |
| Phone Number | 7035733575 |
| Fax Number | 7035733574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ekdom Barry |
| Credentials | PHD |
| Telephone Number | 7035733573 |
NPI Number Detail
| NPI Number | 1194804914 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3040 Williams Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220314618 |
| Phone Number | 7035733575 |
| Fax Number | 7035733574 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the unique identifier code issued to Barry B Ekdom Phd by the Centers for Medicare & Medicaid Services (CMS)?
The Barry B Ekdom Phd has been assigned the NPI (National Provider Identifier) 1194804914. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Barry B Ekdom Phd's facilities are situated?
The facilities of Barry B Ekdom Phd are physically located at the following address: 3040 Williams Dr, Fairfax, VA, 220314618.
What is Barry B Ekdom Phd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Barry B Ekdom Phd is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194804914 to Barry B Ekdom Phd?
The Centers for Medicare & Medicaid Services originally issued the 1194804914 to Barry B Ekdom Phd on 2006-11-03.
When was the information related to Barry B Ekdom Phd most recently updated or refreshed?
The details pertaining to the Barry B Ekdom Phd, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.