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NPI Code Detail

MEDICARE: DR. JENNIFER MARY STRANG PH.D.

MEDICARE: DR. JENNIFER MARY STRANG 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
1103TC0700XClinical Psychologist0810003317VA

General Provider Information

NPI Number : 1598748899
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER MARY STRANG PH.D.
Provider Business Mailing Address
First Line : 3000 CONNECTICUT AVE NW
Second Line : #407
City : WASHINGTON
State : DC
Zip : 20008-2509
Country : US
Telephone Number : 202-250-6325
Fax Number : 202-250-6325
Provider Business Practice Location Address
First Line : 9501 FARRELL RD
Second Line : SUITE G-C11
City : FORT BELVOIR
State : VA
Zip : 22060-5901
Country : US
Telephone Number : 703-805-0110
Fax Number : 703-805-0967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 07/08/2007

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