Organization
BARRY B EKDOM PHD, PC
Active
Other names
Ekdom Neuropsychology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE HASHEMIAN PSYD (OWNER)
(703) 573-3573
Entity
Organization
Contact information
Practice address
3040 WILLIAMS DR, SUITE 402, FAIRFAX, VA 22031-4618
(703) 573-3575
(703) 573-3574
Mailing address
3040 WILLIAMS DR, SUITE 402, FAIRFAX, VA 22031-4618
(703) 573-3575
(703) 573-3574
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
081001775
VA
Other
Enumeration date
11/03/2006
Last updated
06/04/2024
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