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WASHINTON NEUROPSYCHOLOGY RESEARCH GROUP LLC NPI 1902135684


NPI Information

NPI: 1902135684
Provider Name: WASHINTON NEUROPSYCHOLOGY RESEARCH GROUP, LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
3020 HAMAKER CT
SUITE 103
FAIRFAX, VA
ZIP 22031
Phone: (703) 876-0966
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WASHINTON NEUROPSYCHOLOGY RESEARCH GROUP, LLC is a clinical neuropsychologist in Fairfax, VA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. WASHINTON NEUROPSYCHOLOGY RESEARCH GROUP, LLC NPI is 1902135684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3020 HAMAKER CT
SUITE 103
FAIRFAX, VA
ZIP 22031-238
Phone: (703) 876-0966
Fax: (703) 876-1628

The provider's authorized official is Jeffrey Adam Wilken .
The authorized official title is President and has the following contact phone number (703) 876-0966.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 12/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist0810003702VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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