Individual
DR. ILANA ILKOVITCH BURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1645 INTERNATIONAL DR, 327, MC LEAN, VA 22102-4816
(240) 354-7651
Mailing address
1645 INTERNATIONAL DR, 327, MC LEAN, VA 22102-4816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004048
VA
Other
Enumeration date
04/13/2010
Last updated
02/04/2013
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