Healthcare Provider Details

I. General information

NPI: 1831914241
Provider Name (Legal Business Name): MARY ANN BISHAY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7921 JONES BRANCH DRIVE SUITE 311
MCLEAN VA
22102-3334
US

IV. Provider business mailing address

8401 MAYLAND DR STE A
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 703-772-4428
  • Fax: 571-384-6309
Mailing address:
  • Phone: 973-851-8967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810008708
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: