Individual
DR. LANA ADIL MAHGOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
21525 RIDGETOP CIR STE 110, DULLES, VA 20166-6510
(703) 662-1719
Mailing address
21525 RIDGETOP CIR STE 110, DULLES, VA 20166-6510
(703) 662-1719
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11460
NE
103TC0700X
Clinical Psychologist
Primary
0810006314
VA
103TC2200X
Clinical Child & Adolescent Psychologist
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Other
Enumeration date
05/17/2018
Last updated
10/21/2025
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