Individual
DR. MARY ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PSYD
Contact information
Practice address
9677 MAIN ST STE A-B, FAIRFAX, VA 22031-3763
(301) 767-1733
Mailing address
8401 MAYLAND DR STE A, RICHMOND, VA 23294-4648
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810009162
VA
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
11/04/2025
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