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Individual

JACK MERENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
3921 BLENHEIM BLVD, FAIRFAX, VA 22030-2429
(703) 474-8905
Mailing address
9306 OLD KEENE MILL RD STE B, BURKE, VA 22015-4280
(703) 474-8905

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005120
VA

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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