49D2111244 CLIA NUMBER - COLLEEN A BLANCHFIELD MD

Laboratory Demographics

CLIA Number: 49D2111244

Facility Name: COLLEEN A BLANCHFIELD MD

Facility Address:
11490 COMMERCE PARK DRIVE, SUITE 420
RESTON, VA
ZIP 20191
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Facility Phone Number: 703 481-9111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558581314

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	49D2111244
LAB Type	Physician Office
Facility Name	COLLEEN A BLANCHFIELD MD
Street	11490 COMMERCE PARK DRIVE, SUITE 420
City	RESTON
State	VA
ZIP	20191
Phone	703 481-9111
CertificateType	4
CertificateEffectiveDate	4/1/2024
CertificateExpirationDate	3/31/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024