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Individual

AREEJ IFTAIHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD.

Contact information

Practice address
144 CHURCH ST NW STE 205, VIENNA, VA 22180-4550
(571) 261-7764
Mailing address
144 CHURCH ST NW STE 205, VIENNA, VA 22180-4550
(571) 261-7764

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008451
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
445109466
HEALTH CARE PROVIDER
VA
Enumeration date
10/16/2007
Last updated
09/01/2024
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