Healthcare Provider Details

I. General information

NPI: 1295284958
Provider Name (Legal Business Name): ARIELLA KAREN GELB MARCUS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 03/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WILSON BLVD SUITE 401
ARLINGTON VA
22201-3397
US

IV. Provider business mailing address

2200 WILSON BLVD SUITE 401
ARLINGTON VA
22201-3397
US

V. Phone/Fax

Practice location:
  • Phone: 703-875-0475
  • Fax:
Mailing address:
  • Phone: 703-875-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number0810005344
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: