Individual
GARY ROBERT SPIVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N GLEBE RD, SUITE 303, ARLINGTON, VA 22207-3558
(703) 841-1290
(703) 841-1315
Mailing address
5404 16TH ST N, ARLINGTON, VA 22205-2763
(703) 532-5520
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
028472
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
028472
VA
Other
Enumeration date
08/11/2006
Last updated
09/11/2025
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