Individual
DR. BRIAN SUGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6456 LAKE MEADOW DR, BURKE, VA 22015-3927
(703) 503-0660
Mailing address
6456 LAKE MEADOW DR, BURKE, VA 22015-3927
(703) 503-0660
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
02371
MD
103T00000X
Psychologist
Primary
0810002136
VA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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