Jorge Rodriguez in Reston - Clinical Neuropsychologist

Jorge Rodriguez - NPI 1992875322

Jorge Rodriguez is a Clinical Neuropsychologist in Reston, Virginia. Jorge Rodriguez practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jorge Rodriguez is 1992875322. The last update date is 2007-12-05.

Jorge Rodriguez's current location address is 12359 Sunrise Valley Dr, Reston, Virginia. You can contact this provider via phone number 7034769500. The mailing address for Jorge Rodriguez is 12359 Sunrise Valley Dr, Reston, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jorge Rodriguez
Address 12359 Sunrise Valley Dr, Reston, Virginia
Phone Number 7034769500
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1992875322
Provider Enumeration Date 2006-11-09
Last Updated Date 2007-12-05

Provider Mailing Address Detail

Address 12359 Sunrise Valley Dr
City Reston
State Virginia (VA)
Post Code 201913462
Phone Number 7034769500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46810001 DC CF BCBS DC
283186 VA AMERIGROUP
1230161 VA UHC UBH
334206 VA ANTHEM

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FAQs about Jorge Rodriguez

What is the Jorge Rodriguez's unique identification number?

The Jorge Rodriguez has been assigned the NPI (National Provider Identifier) Number 1992875322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Jorge Rodriguez located?

The Jorge Rodriguez is located at 12359 Sunrise Valley Dr, Reston, VA 201913462.

What is the area of specialization for Jorge Rodriguez, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jorge Rodriguez is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1992875322 to Jorge Rodriguez?

The Centers for Medicare & Medicaid Services assigned the 1992875322 to Jorge Rodriguez on 2006-11-09.

When was the information regarding Jorge Rodriguez most recently updated?

The details pertaining to the Jorge Rodriguez, including its address, specialty, and other relevant information, were last refreshed on 2007-12-05.

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