Organization
APPLIED NEUROPSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES ALFARO PH.D. (OWNER)
(703) 879-5130
Entity
Organization
Contact information
Practice address
6262 CLAY PIPE CT, CENTREVILLE, VA 20121-5620
(703) 879-5130
Mailing address
PO BOX 640, CENTREVILLE, VA 20122-0640
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810003332
VA
Other
Enumeration date
05/15/2006
Last updated
12/21/2009
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