MEDICARE: DR. BRUCE PICKLE PSY.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	0810002005	VA
2	103TC2200X	Clinical Child & Adolescent Psychologist	0810002005	VA
3	103TH0004X	Health Psychologist

General Provider Information

NPI Number	:	1811135668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE PICKLE PSY.D.

Provider Business Mailing Address
First Line	:	3819 23RD ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-3807
Country	:	US
Telephone Number	:	703-812-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	3819 23RD ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-3807
Country	:	US
Telephone Number	:	703-812-8282
Fax Number	:

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

Provider Enumeration Date	:	02/02/2009
Last Update Date	:	02/02/2009

Similar Medicare Providers

1043617889 — VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC
Practice Location Address:

1851 N GEORGE MASON DR STE 3C
ARLINGTON, VA
22207-1953

Practice Phone: 703-717-7780
Practice Fax: 703-717-7781

1972466217 — RM STEADMAN PSYD PLLC
Practice Location Address:

2200 N GEORGE MASON DR UNIT 7003
ARLINGTON, VA
22207-8001

Practice Phone: 720-258-6254
Practice Fax:

1548090723 — AMY RUSSELL CVEJANOVICH MSN, APRN, FNP-C
Practice Location Address:

1851 N GEORGE MASON DR STE 3C
ARLINGTON, VA
22207-1953

Practice Phone: 703-717-7780
Practice Fax:

1174526859 — DR. SHAHROKH SHAHVERDI D.C.
Practice Location Address:

2160 N GLEBE RD
ARLINGTON, VA
22207-2262

Practice Phone: 703-522-8855
Practice Fax: 703-522-4574

1053313189 — MS. KATHLEEN ANNE MALLIARAKIS RN, CNP
Practice Location Address:

3925 N ABINGDON ST
ARLINGTON, VA
22207-2919

Practice Phone: 703-237-7303
Practice Fax: 703-237-7304

1417956814 — DR. MARY ELLEN GALLAGHER M.D.
Practice Location Address:

2501 N GLEBE RD , SUITE 301
ARLINGTON, VA
22207-3558

Practice Phone: 703-527-6664
Practice Fax: 703-527-0655

Directions to “ DR. BRUCE PICKLE PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.