| Amen Clinics, Inc Dc | |
|
10701 Parkridge Blvd Ste 110 Reston VA 20191-4423 | |
| (703) 880-4000 | |
| (703) 860-5760 |
| Full Name | Amen Clinics, Inc Dc |
|---|---|
| Speciality | Psychiatry & Neurology - Diagnostic Neuroimaging |
| Location | 10701 Parkridge Blvd Ste 110, Reston, Virginia |
| Authorized Official Name and Position | Christina T Mccormick (CORPORATE TRAINER) |
| Authorized Official Contact | 7038804000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amen Clinics, Inc Dc 10701 Parkridge Blvd Ste 110 Reston VA 20191-4423 Ph: (703) 880-4000 | Amen Clinics, Inc Dc 10701 Parkridge Blvd Ste 110 Reston VA 20191-4423 Ph: (703) 880-4000 |
| NPI Number | 1124534607 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124534607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084D0003X | Psychiatry & Neurology - Diagnostic Neuroimaging | (* (Not Available)) | Primary |
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