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Individual

JAMES R PERLSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2235 CEDAR LN, STE 202, VIENNA, VA 22182-5247
(703) 752-7881
(703) 752-7880
Mailing address
2235 CEDAR LN, SUITE 202, VIENNA, VA 22182-5247
(703) 752-7881
(703) 752-7880

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
03368
MD
103T00000X
Psychologist
Primary
0810002163
VA
173F00000X
Sleep Specialist (PhD)
0810002163
VA

Other

Enumeration date
10/02/2006
Last updated
12/11/2008
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