Neuropsychology At Burke, LLC
Clinical Neuropsychologist in Burke, VA. Organization (NPI-2).
NPI number1750698239
StatusActive
Last updated in NPPESSep 8, 2011
Details
- NPI
- 1750698239
- Entity type
- Organization (NPI-2)
- Legal business name
- Neuropsychology At Burke, LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2010
- Last updated
- Sep 8, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810002714 | VA | Yes |
Practice location
9408 Raintree RdBurke, VA 22015-1946
Phone 703-426-7246 · Fax 703-426-4223
Mailing address
9408 Raintree RdBurke, VA 22015-1946
Phone 703-426-7246 · Fax 703-426-4223
Authorized official
Paul Fedio
President
7034267246
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