Organization
WASHINTON NEUROPSYCHOLOGY RESEARCH GROUP, LLC
Active
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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