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Individual

DR. BARRY B. EKDOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3040 WILLIAMS DR, SUITE 402, FAIRFAX, VA 22031-4618
(703) 573-3573
(703) 573-3574
Mailing address
3040 WILLIAMS DR, SUITE 402, FAIRFAX, VA 22031-4618
(703) 573-3573
(703) 573-3574

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810001775
VA

Other

Enumeration date
11/15/2007
Last updated
06/03/2024
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