Healthcare Provider Details

I. General information

NPI: 1245763044
Provider Name (Legal Business Name): DHURATA MAJKO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 15TH ST N STE 1003
ARLINGTON VA
22201-2683
US

IV. Provider business mailing address

2000 15TH ST N STE 1003
ARLINGTON VA
22201-2683
US

V. Phone/Fax

Practice location:
  • Phone: 703-520-1072
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810005652
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: