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NPI Code Detail

MEDICARE: ROBERT FOX VERNON PH.D.

MEDICARE: ROBERT FOX VERNON 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
1103TC1900XCounseling Psychologist0810004608

General Provider Information

NPI Number : 1649562844
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT FOX VERNON PH.D.
Provider Business Mailing Address
First Line : 108A S COLUMBUS ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3051
Country : US
Telephone Number : 703-957-5778
Fax Number : 978-477-5634
Provider Business Practice Location Address
First Line : 108A S COLUMBUS ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3051
Country : US
Telephone Number : 703-957-5778
Fax Number : 978-477-5634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2011
Last Update Date : 08/05/2015

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