KEITH K. EWELL PH.D. NPI 1265835219

NPI Information

KEITH K. EWELL, PH.D. is an adolescent and children mental health clinic center in Fairfax, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. KEITH K. EWELL, PH.D. NPI is 1265835219. The provider is registered as an organization entity type.

The provider's business location address is:

12700 SABASTIAN DR
FAIRFAX, VA
ZIP 22030-610
Phone: (703) 322-0701

The provider's authorized official is Keith K. Ewell .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (703) 322-0701.

The enumeration date for this NPI number is 10/6/2014 and was last updated on 10/6/2014.

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:

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