NPI 1942045695 · live from the CMS NPI Registry
Applied Neuropsychological Services, P.C.
Psychologist, Clinical in Centreville, VA. National Provider Identifier 1942045695, active.
NPI record
| NPI | 1942045695 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 14120a Route 29, #640, Centreville, VA 20120 |
| Practice phone | 703-879-5130 |
| Mailing address | Po Box 640, Centreville, VA 20122 |
| Enumerated | June 26, 2024 |
| Last updated | July 2, 2024 |
| Authorized official | Mercedes Alfaro, President/Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | — |
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.