Individual
DR. CARLOS DURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
11417 TANBARK DR, RESTON, VA 20191-4103
(703) 620-4509
(703) 620-0420
Mailing address
11417 TANBARK DR, RESTON, VA 20191-4103
(703) 620-4509
(703) 620-0420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002622
VA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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