Healthcare Provider Details

I. General information

NPI: 1518018092
Provider Name (Legal Business Name): EUGENE ALOYSIUS DANNEMILLER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 HUNTER MILL RD OAKTON PREFESSIONAL CENTER, SUITE 21
OAKTON VA
22124-1716
US

IV. Provider business mailing address

2915 HUNTER MILL RD OAKTON PROFESSIONAL CENTER, SUITE #21
OAKTON VA
22124-1716
US

V. Phone/Fax

Practice location:
  • Phone: 703-938-6867
  • Fax: 703-938-6203
Mailing address:
  • Phone: 703-938-6866
  • Fax: 703-938-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number0810000925
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810000925
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number0810000925
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number0810000925
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810000925
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number0810000925
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: