Richard Alan Gontang in Falls Church - Clinical
Richard Alan Gontang - NPI 1164505731
Richard Alan Gontang is a Clinical in Falls Church, Virginia. Richard Alan Gontang practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Alan Gontang is 1164505731. The last update date is 2007-07-08.
Richard Alan Gontang's current location address is 5691 Columbia Pike, Falls Church, Virginia. You can contact this provider via phone number 7039985606 and fax number 7039985608. The mailing address for Richard Alan Gontang is 5691 Columbia Pike, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Alan Gontang |
|---|---|
| Address | 5691 Columbia Pike, Falls Church, Virginia |
| Phone Number | 7039985606 |
| Fax Number | 7039985608 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1164505731 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5691 Columbia Pike |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 22041 |
| Phone Number | 7039985606 |
| Fax Number | 7039985608 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810003411 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 185384 | ANTHEM | ||
| 28110017 | CARE FIRST |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Alan Gontang by the Centers for Medicare & Medicaid Services?
The Richard Alan Gontang has been issued the NPI (National Provider Identifier) 1164505731, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard Alan Gontang?
The Richard Alan Gontang is situated at 5691 Columbia Pike, in the city of Falls Church, state of VA, with the zip code 22041.
What is Richard Alan Gontang's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Alan Gontang is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164505731 to Richard Alan Gontang?
The Centers for Medicare & Medicaid Services assigned the 1164505731 to Richard Alan Gontang on 2006-10-24.
As of what date was the information pertaining to Richard Alan Gontang, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard Alan Gontang, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.