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Organization

CHIMES VIRGINIA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY V LANE (CORPORATE CONTROLLER)
(410) 358-5252
Entity
Organization

Contact information

Practice address
3957 PENDER DR, SUITE 103, FAIRFAX, VA 22030-6027
(703) 267-2778
Mailing address
4815 SETON DR, BALTIMORE, MD 21215-3211
(401) 358-5252
(410) 358-6555

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
VA

Other

Enumeration date
08/21/2006
Last updated
08/22/2020
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