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NPI Code Detail

MEDICARE: NEUROPSYCH WELLNESS CENTER, PC

MEDICARE: NEUROPSYCH WELLNESS CENTER, PC
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
12084P0800XPsychiatry Physician0101246802VA

General Provider Information

NPI Number : 1588977748
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEUROPSYCH WELLNESS CENTER, PC
Provider Business Mailing Address
First Line : PO BOX 220403
Second Line :
City : CHANTILLY
State : VA
Zip : 20153-0403
Country : US
Telephone Number : 703-626-1420
Fax Number :
Provider Business Practice Location Address
First Line : 3930 PENDER DR STE 350
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-0989
Country : US
Telephone Number : 703-865-8686
Fax Number : 703-865-6506
Authorized Official
Title or Position : PRESIDENT/CEO
Name : ALOK KUMAR
Credential : M.D.
Telephone Number : 703-626-1420
Provider Enumeration Date : 07/16/2010
Last Update Date : 06/02/2015

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Directions to “NEUROPSYCH WELLNESS CENTER, PC ” Practice Location

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