MEDICARE: DR. MONICA ANNETTE ROBB PH.D.

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	103T00000X	Psychologist	04378	MD
2	103T00000X	Psychologist	PSY1000288	DC
3	103T00000X	Psychologist	0810003513	VA

General Provider Information

NPI Number	:	1538299532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA ANNETTE ROBB PH.D.

Provider Business Mailing Address
First Line	:	2121 EISENHOWER AVE STE 222
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4698
Country	:	US
Telephone Number	:	703-944-0422
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 EISENHOWER AVE STE 222
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4698
Country	:	US
Telephone Number	:	703-944-0422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/09/2020

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