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NPI Code Detail

MEDICARE: DR. TAMER MATTAR PSY.D.

MEDICARE: DR. TAMER MATTAR PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0810007967VA
2225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1306989686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMER MATTAR PSY.D.
Provider Business Mailing Address
First Line : 901 N GLEBE RD
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1853
Country : US
Telephone Number : 714-315-6486
Fax Number :
Provider Business Practice Location Address
First Line : 901 N GLEBE RD
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1853
Country : US
Telephone Number : 714-315-6486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 09/25/2023

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