Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T in Fairfax - Neurodevelopmental Disabilities

Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T - NPI 1811171309

Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T is a Neurodevelopmental Disabilities in Fairfax, Virginia. Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T is 1811171309. The last update date is 2008-06-19.

Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T's current location address is 9901 Braddock Rd, Fairfax, Virginia. You can contact this provider via phone number 7033234093. The mailing address for Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T is 9901 Braddock Rd, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T
Address 9901 Braddock Rd, Fairfax, Virginia
Phone Number 7033234093
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Baker Shaquwanda
Telephone Number 7033234093

NPI Number Detail

NPI Number 1811171309
Provider Enumeration Date 2007-12-20
Last Updated Date 2008-06-19

Provider Mailing Address Detail

Address 9901 Braddock Rd
City Fairfax
State Virginia (VA)
Post Code 220321904
Phone Number 7033234093
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurodevelopmental Disabilities
Taxonomy 2084P0005X
Licence No 101034545
Definition:
A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

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FAQs about Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T

What is the unique 10-digit identifier code issued to Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T by the Centers for Medicare & Medicaid Services?

The Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T has been assigned the NPI (National Provider Identifier) 1811171309 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T?

The Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T is physically situated at 9901 Braddock Rd, in the city of Fairfax, state of VA, with the postal code 220321904.

What is Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T's specialized field of practice, and what is the corresponding taxonomy classification code?

The Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T's area of specialization is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 2084P0005X.

On what date did the Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T receive its 1811171309 assignment from the Centers for Medicare & Medicaid Services?

The Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T was assigned its 1811171309 by the Centers for Medicare & Medicaid Services on 2007-12-20.

When was the information regarding Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T most recently updated?

The details pertaining to the Commonwealth Of Virginia Dept Of Mental Health And Northern Virginia T, including its address, specialty, and other relevant information, were last refreshed on 2008-06-19.

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