Healthcare Provider Details

I. General information

NPI: 1568397248
Provider Name (Legal Business Name): DR. MEGAN CHAVEZ TOMLINSON PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9917 KINGSBRIDGE DR
FAIRFAX VA
22031-1695
US

IV. Provider business mailing address

9917 KINGSBRIDGE DR
FAIRFAX VA
22031-1695
US

V. Phone/Fax

Practice location:
  • Phone: 707-363-4886
  • Fax:
Mailing address:
  • Phone: 707-363-4886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGAN ROSE TOMLINSON
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 707-363-4886