Healthcare Provider Details

I. General information

NPI: 1538402185
Provider Name (Legal Business Name): AARON DODINI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 LANGSTON BLVD STE 110
ARLINGTON VA
22209-1109
US

IV. Provider business mailing address

1501 LANGSTON BLVD STE 110
ARLINGTON VA
22209-1109
US

V. Phone/Fax

Practice location:
  • Phone: 703-909-5101
  • Fax: 703-348-4790
Mailing address:
  • Phone: 703-909-5101
  • Fax: 703-348-4790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810004031
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717001058
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: