Individual
DR. SUSAN A ETKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, PHD
Contact information
Practice address
4339 ANDES DR, FAIRFAX, VA 22030-5360
(301) 312-1003
Mailing address
10332 MAIN ST # 282, FAIRFAX, VA 22030-2410
(703) 673-7113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
0810004926
VA
Other
Enumeration date
04/05/2010
Last updated
01/17/2023
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