Individual
DR. JOHN DAVID WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9006A CROWNWOOD CT, BURKE, VA 22015-1630
(703) 349-4520
(703) 349-4521
Mailing address
9006A CROWNWOOD CT, BURKE, VA 22015-1630
(703) 349-4520
(703) 349-4521
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810003254
VA
103TC0700X
Clinical Psychologist
0810003254
VA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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