Individual
DR. DAVID W. HEBDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8140 ASHTON AVE, SUITE 100, MANASSAS, VA 20109-5698
(703) 587-8312
(703) 495-9409
Mailing address
8140 ASHTON AVE, SUITE 100, MANASSAS, VA 20109-5698
(703) 587-8312
(703) 495-9409
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810002258
VA
103TC0700X
Clinical Psychologist
0810002258
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224308
ANTHEM BCBS
VA
Enumeration date
07/13/2006
Last updated
08/13/2009
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