Individual
DR. DAVID ELLIS HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
6845 ELM STREET, SUITE 400, MCLEAN, VA 22101-6028
(703) 821-7966
(703) 734-1441
Mailing address
6845 ELM ST, SUITE 400, MC LEAN, VA 22101-6007
(703) 821-7966
(703) 734-1441
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101045403
VA
Other
Enumeration date
04/20/2007
Last updated
10/22/2008
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