Healthcare Provider Details

I. General information

NPI: 1427569334
Provider Name (Legal Business Name): CLAUDETTE PILGER, PSY.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7927 JONES BRANCH DR STE 6125
MC LEAN VA
22102-3317
US

IV. Provider business mailing address

7927 JONES BRANCH DR STE 6125
MC LEAN VA
22102-3317
US

V. Phone/Fax

Practice location:
  • Phone: 703-389-2047
  • Fax: 703-992-0993
Mailing address:
  • Phone: 703-389-2047
  • Fax: 703-992-0993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810003599
License Number StateVA

VIII. Authorized Official

Name: DR. CLAUDETTE A. PILGER
Title or Position: PRESDIENT
Credential: PSY.D.
Phone: 703-389-2047