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NPI Code Detail

MEDICARE: FAMILY COMPASS, PLLC

MEDICARE: FAMILY COMPASS, PLLC
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
11041C0700XClinical Social Worker
2103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1730384504
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY COMPASS, PLLC
Provider Business Mailing Address
First Line : 11150 SUNSET HILLS RD STE 150
Second Line :
City : RESTON
State : VA
Zip : 20190-5325
Country : US
Telephone Number : 703-471-5517
Fax Number : 703-481-8197
Provider Business Practice Location Address
First Line : 11150 SUNSET HILLS RD STE 150
Second Line :
City : RESTON
State : VA
Zip : 20190-5325
Country : US
Telephone Number : 703-471-5517
Fax Number : 703-481-8197
Authorized Official
Title or Position : OWNER
Name : MOSHE SHTUHL
Credential : PH.D.
Telephone Number : 703-471-5517
Provider Enumeration Date : 06/20/2007
Last Update Date : 09/11/2025

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