MEDICARE: DR. VIRGINIA HOLMES LINDAHL PH.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
1	103TC0700X	Clinical Psychologist	0810003583	VA

General Provider Information

NPI Number	:	1689642712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA HOLMES LINDAHL PH.D.

Provider Business Mailing Address
First Line	:	1655 FORT MYER DR
Second Line	:	SUITE 350
City	:	ARLINGTON
State	:	VA
Zip	:	22209-3113
Country	:	US
Telephone Number	:	703-527-5454
Fax Number	:

Provider Business Practice Location Address
First Line	:	1655 FORT MYER DR
Second Line	:	SUITE 350
City	:	ARLINGTON
State	:	VA
Zip	:	22209-3113
Country	:	US
Telephone Number	:	703-527-5454
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/17/2007

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