Individual
DR. MALA K. TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
11350 RANDOM HILLS RD STE 520, FAIRFAX, VA 22030-7428
(571) 332-9095
(703) 644-6237
Mailing address
5921 HALL ST, SPRINGFIELD, VA 22152-1402
(571) 332-9095
(703) 644-6237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
0810004632
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810004632
VA
103TF0000X
Family Psychologist
0810004632
VA
103TP2701X
Group Psychotherapy Psychologist
0810004632
VA
Other
Enumeration date
12/14/2009
Last updated
04/11/2025
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