Healthcare Provider Details

I. General information

NPI: 1962500371
Provider Name (Legal Business Name): RONDA BARNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 WAPLES MILL RD SUITE 180
FAIRFAX VA
22030-7407
US

IV. Provider business mailing address

2099 N COLLINS BLVD SUITE 100
RICHARDSON TX
75080-2698
US

V. Phone/Fax

Practice location:
  • Phone: 703-383-8333
  • Fax: 703-383-3183
Mailing address:
  • Phone: 972-437-4698
  • Fax: 972-671-2087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: