Individual
DR. KATHY NGUYEN
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
3921 PENDERVIEW DR, APT 1826, FAIRFAX, VA 22033-4739
(571) 236-0197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004537
VA
103TC0700X
Clinical Psychologist
PSY1000738
DC
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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