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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