MEDICARE: VIRGINA BRIGGS SCHWARTZ

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	0810000985	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2943190	OTHER	VA	AETUA
2	H313	OTHER	VA	CARE FIRST

General Provider Information

NPI Number	:	1891849329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINA BRIGGS SCHWARTZ

Provider Business Mailing Address
First Line	:	3004 LEE HWY
Second Line	:	D111
City	:	ARLINGTON
State	:	VA
Zip	:	22201-4233
Country	:	US
Telephone Number	:	703-276-1530
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 LEE HWY
Second Line	:	D111
City	:	ARLINGTON
State	:	VA
Zip	:	22201-4233
Country	:	US
Telephone Number	:	703-276-1530
Fax Number	:

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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