NPI 1720820467 · live from the CMS NPI Registry
Amela Ahmetovic
Psychologist, School in Fairfax, VA. National Provider Identifier 1720820467, active.
NPI record
| NPI | 1720820467 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 |
| Practice phone | 315-790-7553 |
| Enumerated | June 12, 2024 |
| Last updated | June 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | PPS-0606775 (VI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.