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Individual

DR. RISA EVE BROUDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1655 FORT MYER DR STE 820, ARLINGTON, VA 22209-3106
(703) 965-7477
Mailing address
5711 4TH ST N, ARLINGTON, VA 22205-1003
(703) 351-1036

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY1000254
DC
103TC0700X
Clinical Psychologist
Primary
0810003440
VA

Other

Enumeration date
04/11/2007
Last updated
04/18/2018
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