Individual
BROOKE TANCER KAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
133 PARK ST NE, VIENNA, VA 22180-4602
(703) 281-4928
Mailing address
133 PARK ST NE, VIENNA, VA 22180-4602
(703) 281-4928
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004914
VA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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