MEDICARE: MS. AUBREY LANDAU

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
1	106H00000X	Marriage & Family Therapist	0717002316	VA
2	106H00000X	Marriage & Family Therapist	97502	CA

General Provider Information

NPI Number	:	1326443177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AUBREY LANDAU

Provider Business Mailing Address
First Line	:	1520 BELLE VIEW BLVD # 3611
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	619-693-4945
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 BELLE VIEW BLVD # 3611
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	619-693-4945
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2014
Last Update Date	:	05/21/2025

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