Individual
DR. ALBERT JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
44110 ASHBURN SHOPPING PLAZA, ASHBURN, VA 20147
(703) 723-2999
Mailing address
43992 INDIAN FIELDS CT, LEESBURG, VA 20176-1639
(571) 333-2525
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004065
VA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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