MEDICARE: CLAUDETTE PILGER, PSY.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0810003599	VA

General Provider Information

NPI Number	:	1427569334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAUDETTE PILGER, PSY.D., INC.

Provider Business Mailing Address
First Line	:	7927 JONES BRANCH DR STE 6125
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3317
Country	:	US
Telephone Number	:	703-389-2047
Fax Number	:	703-992-0993

Provider Business Practice Location Address
First Line	:	7927 JONES BRANCH DR STE 6125
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3317
Country	:	US
Telephone Number	:	703-389-2047
Fax Number	:	703-992-0993

Authorized Official
Title or Position	:	PRESDIENT
Name	:	DR. CLAUDETTE A. PILGER
Credential	:	PSY.D.
Telephone Number	:	703-389-2047

Provider Enumeration Date	:	10/18/2017
Last Update Date	:	10/18/2017

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