Neuroscience, INC.
Psychologist, Cognitive & Behavioral in Herndon, VA. Organization (NPI-2).
NPI number1669983128
StatusActive
Last updated in NPPESOct 23, 2017
Details
- NPI
- 1669983128
- Entity type
- Organization (NPI-2)
- Legal business name
- Neuroscience, INC.
- Organization subpart
- No
- Enumeration date
- Oct 23, 2017
- Last updated
- Oct 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | Yes |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
106 Elden St Ste 17Herndon, VA 20170-4840
Phone 703-787-9090 · Fax 703-787-8845
Mailing address
106 Elden St Ste 17Herndon, VA 20170-4840
Phone 703-787-9090 · Fax 703-787-8845
Authorized official
Melissa Andrews
Vice President
7037879090
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