Individual
DR. JENNIFER R NEWHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD., LCP
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 573-5679
Mailing address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 573-5679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
0810005926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912177940
—
CA
05
—
1912177940
—
VA
Enumeration date
03/05/2008
Last updated
06/22/2021
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