Organization
WASHINTON NEUROPSYCHOLOGY RESEARCH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ADAM WILKEN PH.D. (PRESIDENT)
(703) 876-0966
Entity
Organization
Contact information
Practice address
3020 HAMAKER CT, SUITE 103, FAIRFAX, VA 22031-2238
(703) 876-0966
(703) 876-1628
Mailing address
2629 OAKTON GLEN DR, VIENNA, VA 22181-5344
(703) 876-0966
(703) 876-1628
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810003702
VA
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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