| Divine Mercy University | |
|
45154 Underwood Ln. Sterling VA 20166 | |
| (703) 418-2111 | |
| (703) 495-3516 |
| Full Name | Divine Mercy University |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 45154 Underwood Ln., Sterling, Virginia |
| Authorized Official Name and Position | Helena E Orellana (INTERIM DIRECTOR) |
| Authorized Official Contact | 7034182111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Mercy University 45154 Underwood Ln. Sterling VA 20166 Ph: (703) 418-2111 | Divine Mercy University 45154 Underwood Ln. Sterling VA 20166 Ph: (703) 418-2111 |
| NPI Number | 1518304641 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518304641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810003873 (Virginia) | Primary |
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