NPI 1689128407 · live from the CMS NPI Registry
Susan Ammerman, PsyD
Psychologist in Fairfax, VA. National Provider Identifier 1689128407, active.
NPI record
| NPI | 1689128407 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 3020 Hamaker Ct, Suite 103, Fairfax, VA 22031 |
| Practice phone | 703-559-4098 |
| Enumerated | August 10, 2016 |
| Last updated | August 10, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 0810005265 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.