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Individual

DR. HENDRIKA VANDE KEMP

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
7815 REBEL DR, ANNANDALE, VA 22003-1429
(703) 698-8881
Mailing address
7815 REBEL DR, ANNANDALE, VA 22003-1429
(703) 698-8881

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003170
VA
103TC0700X
Clinical Psychologist
6311
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
278370
ANTHEM BCBS IDENTIFICATIO
VA
01
515346
VALUE OPTIONS/ELC
VA
01
516840
VALUEOPTIONS/PCUSA
VA
01
700715
AETNA/MAGELLAN PIN NUMBER
VA
01
709267
NATIONAL CAPITAL PPO
VA
01
G615 0001
CAREFIRST BCBS #
VI
Enumeration date
09/09/2005
Last updated
07/08/2007
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