Individual
DR. PATRICK JOSEPH NISCO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20905 PROFESSIONAL PLAZA, SUITE 220, ASHBURN, VA 20147
(703) 858-9841
(703) 858-9446
Mailing address
20905 PROFESSIONAL PLAZA, SUITE 220, ASHBURN, VA 20147
(703) 858-9841
(703) 858-9446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04193
MD
103TC0700X
Clinical Psychologist
Primary
0810003678
VA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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