Healthcare Provider Details

I. General information

NPI: 1386422970
Provider Name (Legal Business Name): SARAH TAYLOR SWOYER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH TAYLOR PHD

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 INNOVATION PARK DR
FAIRFAX VA
22031-4870
US

IV. Provider business mailing address

8100 INNOVATION PARK DR
FAIRFAX VA
22031-4870
US

V. Phone/Fax

Practice location:
  • Phone: 571-472-4200
  • Fax:
Mailing address:
  • Phone: 571-472-4200
  • 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:
Title or Position:
Credential:
Phone: