Organization
PEAK NEUROTRAINING SOLUTIONS, INC
Active
Other names
PEAK NT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD RICHARD DUROUSSEAU (EXECUTIVE DIRECTOR)
(703) 606-0670
Entity
Organization
Contact information
Practice address
107 E HOLLY AVE, SUITE 13, STERLING, VA 20164-5405
(703) 444-7325
(703) 444-7325
Mailing address
107 E HOLLY AVE, SUITE 13, STERLING, VA 20164-5405
(703) 444-7325
(703) 444-7325
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810003784
VA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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