NPI 1700190253 · live from the CMS NPI Registry
Maryam Kathrine Arena, Ph.D.
Psychologist, Clinical in Lansdowne, VA. National Provider Identifier 1700190253, active.
NPI record
| NPI | 1700190253 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 19441 Golf Vista Plz, Lansdowne, VA 20176 |
| Practice phone | 703-678-1533 |
| Enumerated | July 27, 2010 |
| Last updated | July 27, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0810003821 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.