Organization
DAVID E. HIATT PHD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ELLIS HIATT MD (PRESIDENT)
(703) 821-7966
Entity
Organization
Contact information
Practice address
6845 ELM ST, SUITE 400, MC LEAN, VA 22101-6007
(703) 821-7966
(703) 734-1441
Mailing address
6845 ELM ST, SUITE 400, MC LEAN, VA 22101-6007
(703) 821-7966
(703) 734-1441
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0101045403
VA
Other
Enumeration date
10/23/2008
Last updated
11/19/2009
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