| J.lawrence Jamieson,ph.d.,p.c. | |
|
3923 Old Lee Hwy Ste 63d Fairfax VA 22030-2428 | |
| (703) 691-2408 | |
| (703) 691-2103 |
| Full Name | J.lawrence Jamieson,ph.d.,p.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3923 Old Lee Hwy Ste 63d, Fairfax, Virginia |
| Authorized Official Name and Position | J. Lawrence Jamieson (PRESIDENT) |
| Authorized Official Contact | 7036912408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.lawrence Jamieson,ph.d.,p.c. 3923 Old Lee Hwy Ste 63d Fairfax VA 22030-2428 Ph: (703) 691-2408 | J.lawrence Jamieson,ph.d.,p.c. 3923 Old Lee Hwy Ste 63d Fairfax VA 22030-2428 Ph: (703) 691-2408 |
| NPI Number | 1841420759 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 07/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841420759 | NPI | - | NPPES |
| R39600 | Other | VA | VALUE OPTIONS |
| 659354 | Other | VA | MEDICARE |
| 069293 | Other | VA | ANTHEM,BCBS OF VIRGINIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810002322 (Virginia) | Primary |
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