MEDICARE: DR. HARVEY ROY OAKLANDER 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	103TC0700X	Clinical Psychologist	0810000698	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659377448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVEY ROY OAKLANDER PH.D.

Provider Business Mailing Address
First Line	:	9805 DANSK CT
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22032-1730
Country	:	US
Telephone Number	:	703-323-8558
Fax Number	:	703-425-8010

Provider Business Practice Location Address
First Line	:	9805 DANSK CT
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22032-1730
Country	:	US
Telephone Number	:	703-323-8558
Fax Number	:	703-425-8010

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

Provider Enumeration Date	:	06/26/2005
Last Update Date	:	11/05/2020

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