Organization
JACK A MERENDA, PSY.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK ALLEN MERENDA PSY.D. (PRESIDENT)
(703) 474-8905
Entity
Organization
Contact information
Practice address
9306 OLD KEENE MILL RD, B, BURKE, VA 22015-4280
(703) 474-8905
Mailing address
9306 OLD KEENE MILL RD, B, BURKE, VA 22015-4280
(703) 474-8905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0810005120
VA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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