NPI 1184842932 · live from the CMS NPI Registry
Jeannine Marie Alfano-Gohman, Psy.D.
Psychologist, Clinical in Manassas, VA. National Provider Identifier 1184842932, active.
NPI record
| NPI | 1184842932 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 8811 Sudley Rd Ste 211, Manassas, VA 20110 |
| Practice phone | 703-725-1891 |
| Mailing address | 9002 Jackson Ave, Manassas, VA 20110 |
| Enumerated | April 24, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0701004016 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.