Organization
NEUROPSYCHOLOGY AT BURKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL FEDIO PH.D. (PRESIDENT)
(703) 426-7246
Entity
Organization
Contact information
Practice address
9408 RAINTREE RD, BURKE, VA 22015-1946
(703) 426-7246
(703) 426-4223
Mailing address
9408 RAINTREE RD, BURKE, VA 22015-1946
(703) 426-7246
(703) 426-4223
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810002714
VA
Other
Enumeration date
09/07/2010
Last updated
09/08/2011
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