Healthcare Provider Details

I. General information

NPI: 1700305232
Provider Name (Legal Business Name): AUCONE & STRANG, ASSOCIATES IN NEUROPSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MONTGOMERY ST STE 400
ALEXANDRIA VA
22314-1560
US

IV. Provider business mailing address

500 MONTGOMERY ST STE 400
ALEXANDRIA VA
22314-1560
US

V. Phone/Fax

Practice location:
  • Phone: 571-403-1030
  • Fax:
Mailing address:
  • Phone: 571-403-1030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER STRANG
Title or Position: CO-OWNER/NEUROPSYCHOLOGIST
Credential: PHD
Phone: 571-403-1030