Tara Wall Brown, PsyD
Psychologist in Fairfax, VA. Individual provider (NPI-1).
NPI number1982603692
StatusActive
Last updated in NPPESNov 10, 2011
Details
- NPI
- 1982603692
- Entity type
- Individual (NPI-1)
- Name
- Tara Wall Brown
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2005
- Last updated
- Nov 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 0810003400 | VA | Yes |
Other names
- Tara Wall (Former Name)
Practice location
8500 Executive Park AveSuite 200
Fairfax, VA 22031-2225
Phone 703-698-5200 · Fax 703-573-2351
Mailing address
8500 Executive Park AveSuite 200
Fairfax, VA 22031-2225
Phone 703-698-5200 · Fax 703-573-2351
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All 55 Psychologist providers in Fairfax · All 8,425 providers in Fairfax
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