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Individual

DR. RICHARD JOSEPH TAIBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
10520 JUDICIAL DR, MENTAL HEALTH SERVICES, FAIRFAX, VA 22030
(703) 246-4454
(703) 383-9638
Mailing address
MENTAL HEALTH SERVICES, 10520 JUDICIAL DR, FAIRFAX, VA 22030
(703) 246-4454
(703) 383-9638

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1002
VA

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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