Healthcare Provider Details

I. General information

NPI: 1831914704
Provider Name (Legal Business Name): DELORES TOPPING MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 CAPITAL CT STE 404
MANASSAS VA
20110-2052
US

IV. Provider business mailing address

9720 CAPITAL CT SUITE 404 #5
MANASSAS VA
20110-2052
US

V. Phone/Fax

Practice location:
  • Phone: 571-516-4934
  • Fax:
Mailing address:
  • Phone: 571-516-4934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704017393
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: