Healthcare Provider Details

I. General information

NPI: 1194992792
Provider Name (Legal Business Name): BARBARA REDDY HOAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 N PITT ST
ALEXANDRIA VA
22314-5600
US

IV. Provider business mailing address

1240 N PITT ST
ALEXANDRIA VA
22314-5600
US

V. Phone/Fax

Practice location:
  • Phone: 703-548-4333
  • Fax: 703-998-2299
Mailing address:
  • Phone: 703-548-4333
  • Fax: 703-998-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101027392
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: