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General NPI Number Information
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NPI Number | 1164636684
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Entity Type | Individual
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Provider Name | CYNTHIA ELIZABETH KILLOUGH PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1700 CONNECTICUT AVE NW SUITE 410
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City | WASHINGTON
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State | DC
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Zip | 20009-1134
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Country | US
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Telephone | 202-483-1488
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 14TH ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-4723
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Country | US
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Telephone | 703-989-9486
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 03950
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1000221
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License Number State | DC
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