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NPI Code Detail

MEDICARE: DR. NICHOLE M ROHRER PSY.D.

MEDICARE: DR. NICHOLE M ROHRER 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
1103TC0700XClinical Psychologist0810003977VA

Other Identifiers

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

General Provider Information

NPI Number : 1922196658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLE M ROHRER PSY.D.
Provider Business Mailing Address
First Line : 4850 MARK CENTER DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1882
Country : US
Telephone Number : 703-746-3400
Fax Number :
Provider Business Practice Location Address
First Line : 4850 MARK CENTER DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-1882
Country : US
Telephone Number : 703-746-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 06/11/2024

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