MEDICARE: JANEE ALFREDA REDD

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	103TH0100X	Health Service Psychologist	A67361759	VA

General Provider Information

NPI Number	:	1356299499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANEE ALFREDA REDD

Provider Business Mailing Address
First Line	:	1329 HEATHERSTONE DR
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-4832
Country	:	US
Telephone Number	:	202-612-0285
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 N CAPITOL ST NE APT 201
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-8957
Country	:	US
Telephone Number	:	202-517-5726
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ JANEE ALFREDA REDD ” Practice Location

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