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Individual

DR. SUSAN PERKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
405 N WASHINGTON ST, SUITE 104, FALLS CHURCH, VA 22046-3410
(703) 534-1095
(703) 533-9433
Mailing address
405 N WASHINGTON ST, SUITE 104, FALLS CHURCH, VA 22046-3410
(703) 534-1095
(703) 533-9433

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002158
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
265665
ANTHEM PROVIDER NUMBER
VA
Enumeration date
01/24/2007
Last updated
07/08/2007
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