Individual
ALISON ANN FEDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., PSY.D.
Contact information
Practice address
8996 BURKE LAKE ROAD, SUITE 100, BURKE, VA 22015-1946
(703) 978-9781
(703) 426-4223
Mailing address
9408 RAINTREE RD, BURKE, VA 22015-1946
(703) 309-6004
(703) 426-4223
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810003682
VA
103TC0700X
Clinical Psychologist
0810003682
VA
Other
Enumeration date
07/19/2010
Last updated
10/23/2020
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