Individual
DR. TAMARA JILL MARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1604 SPRING HILL RD, 3RD FL, SUITE 310, VIENNA, VA 22182-7510
(703) 585-1095
Mailing address
1604 SPRING HILL RD, 3RD FL, SUITE 310, VIENNA, VA 22182-7510
(703) 585-1095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3304
—
103T00000X
Psychologist
04031
MD
103T00000X
Psychologist
PSY1000529
DC
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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