Risa Eve Broudy is a Clinical in Arlington, Virginia. Risa Eve Broudy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Risa Eve Broudy is 1336363647. The last update date is 2018-04-18.
Risa Eve Broudy's current location address is 1655 Fort Myer Dr Ste 820, Arlington, Virginia. You can contact this provider via phone number 7039657477. The mailing address for Risa Eve Broudy is 1655 Fort Myer Dr Ste 820, Arlington, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Risa Eve Broudy |
|---|---|
| Address | 1655 Fort Myer Dr Ste 820, Arlington, Virginia |
| Phone Number | 7039657477 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336363647 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2018-04-18 |
Provider Mailing Address Detail
| Address | 1655 Fort Myer Dr Ste 820 |
|---|---|
| City | Arlington |
| State | Virginia (VA) |
| Post Code | 222093106 |
| Phone Number | 7039657477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810003440 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Risa Eve Broudy by the Centers for Medicare & Medicaid Services (CMS)?
The Risa Eve Broudy has been assigned the NPI (National Provider Identifier) 1336363647. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Risa Eve Broudy?
The Risa Eve Broudy is physically situated at 1655 Fort Myer Dr Ste 820, in the city of Arlington, state of VA, with the postal code 222093106.
What is the area of specialization for Risa Eve Broudy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Risa Eve Broudy is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336363647 to Risa Eve Broudy?
The Risa Eve Broudy received its 1336363647 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information regarding Risa Eve Broudy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Risa Eve Broudy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-04-18.