Candace Victoria Bryan in Fairfax - Behavioral Neurology & Neuropsychiatry

Candace Victoria Bryan - NPI 1376750133

Candace Victoria Bryan is a Behavioral Neurology & Neuropsychiatry in Fairfax, Virginia. Candace Victoria Bryan practices all healthcare services and medical treatments related to Behavioral Neurology & Neuropsychiatry. The NPI Number for Candace Victoria Bryan is 1376750133. The last update date is 2022-06-08.

Candace Victoria Bryan's current location address is 3020 Hamaker Ct, Fairfax, Virginia. You can contact this provider via phone number 7038760800 and fax number 7038760866. The mailing address for Candace Victoria Bryan is 3020 Hamaker Ct, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Candace Victoria Bryan
Address 3020 Hamaker Ct, Fairfax, Virginia
Phone Number 7038760800
Fax Number 7038760866
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1376750133
Provider Enumeration Date 2007-05-17
Last Updated Date 2022-06-08

Provider Mailing Address Detail

Address 3020 Hamaker Ct
City Fairfax
State Virginia (VA)
Post Code 220312238
Phone Number 7038760800
Fax Number 7038760866

Provider's Primary Taxonomy Detail

Speciality Behavioral Neurology & Neuropsychiatry
Taxonomy 2084B0040X
Licence No 101242056
Definition:
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1376750133 VA --

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FAQs about Candace Victoria Bryan

What is the unique identification code assigned to Candace Victoria Bryan by the Centers for Medicare & Medicaid Services?

The Candace Victoria Bryan has been issued the NPI (National Provider Identifier) 1376750133. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Candace Victoria Bryan's facilities are geographically located?

The facilities of Candace Victoria Bryan are physically situated at the following location: 3020 Hamaker Ct, Fairfax, VA, 220312238.

What is the Candace Victoria Bryan's area of specialization and corresponding taxonomy classification?

The Candace Victoria Bryan's specialty field is Behavioral Neurology & Neuropsychiatry, and it falls under the taxonomy code 2084B0040X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1376750133 to Candace Victoria Bryan?

The Candace Victoria Bryan received its 1376750133 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.

When was the information regarding Candace Victoria Bryan most recently updated?

The details pertaining to the Candace Victoria Bryan, including its address, specialty, and other relevant information, were last refreshed on 2022-06-08.

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