NPI 1114733284 · live from the CMS NPI Registry
Timothy Ahn
Psychologist, School in Fairfax, VA. National Provider Identifier 1114733284, active.
NPI record
| NPI | 1114733284 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 |
| Practice phone | 571-423-4900 |
| Enumerated | December 4, 2024 |
| Last updated | April 3, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | PPS-0608518 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.