Healthcare Provider Details

I. General information

NPI: 1033082623
Provider Name (Legal Business Name): NASHWA R.R.H. GHALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 DEMOCRACY LN STE 201
FAIRFAX VA
22030-2545
US

IV. Provider business mailing address

10301 DEMOCRACY LN STE 201
FAIRFAX VA
22030-2545
US

V. Phone/Fax

Practice location:
  • Phone: 703-547-3509
  • Fax:
Mailing address:
  • Phone: 703-547-3509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810009341
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: