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Organization

DC PSYCHIATRY LLC

Active
Other names
DC Psychiatry LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CORDELIA NIEKETIEN-TAWARI, DNP, APRN-BC, LNP DNP APRN-BC LNP (CEO)
(703) 869-5361
Entity
Organization

Contact information

Practice address
1800 TOWN CENTER DR STE 420, RESTON, VA 20190-3240
(703) 869-5361
(703) 957-3625
Mailing address
PO BOX 710015, HERNDON, VA 20171-0015
(703) 869-5361
(703) 957-3625

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/23/2024
Last updated
12/23/2024
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