MEDICARE: CLAUDIA CARRERA

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	0810005995	VA

General Provider Information

NPI Number	:	1780058081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA CARRERA

Provider Business Mailing Address
First Line	:	6616 STONECREST LN
Second Line	:
City	:	FAIRFAX STATION
State	:	VA
Zip	:	22039-1200
Country	:	US
Telephone Number	:	580-583-0907
Fax Number	:

Provider Business Practice Location Address
First Line	:	424 S WASHINGTON ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4100
Country	:	US
Telephone Number	:	703-214-5648
Fax Number	:

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

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	05/29/2026

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Directions to “ CLAUDIA CARRERA ” Practice Location

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