Organization
KEITH A. KAUFMAN, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ANDREW KAUFMAN PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(703) 836-3217
Entity
Organization
Contact information
Practice address
803 FRANKLIN ST, ALEXANDRIA, VA 22314-4105
(703) 836-3217
Mailing address
803 FRANKLIN ST, ALEXANDRIA, VA 22314-4105
(703) 836-3217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004267
VA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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