Organization
IDA SUE BARON, PH.D., P.C.
Active
Organization
IDA SUE BARON, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA SUE BARON PH.D. (PRESIDENT)
(301) 340-2119
Entity
Organization
Contact information
Practice address
1830 TOWN CENTER DR, RESTON, VA 20190-3292
(301) 340-2119
(301) 340-2119
Mailing address
10116 WEATHERWOOD CT, POTOMAC, MD 20854-2173
(301) 340-2119
(301) 340-2119
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
02300
MD
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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