| Mindshape Llc | |
|
2960 Sleepy Hollow Rd Falls Church VA 22044-2030 | |
| (703) 536-2000 | |
| Not Available |
| Full Name | Mindshape Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2960 Sleepy Hollow Rd, Falls Church, Virginia |
| Authorized Official Name and Position | Gary Spivack (OWNER) |
| Authorized Official Contact | 7038411290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindshape Llc 2501 N Glebe Rd Suite 303 Arlington VA 22207-3558 Ph: (703) 841-1290 | Mindshape Llc 2960 Sleepy Hollow Rd Falls Church VA 22044-2030 Ph: (703) 536-2000 |
| NPI Number | 1912452327 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912452327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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