| Neuropsychology Of Northern Virginia | |
|
8140 Ashton Ave Suite 100 Manassas VA 20109-5698 | |
| (703) 587-8312 | |
| (703) 495-9409 |
| Full Name | Neuropsychology Of Northern Virginia |
|---|---|
| Speciality | Psychologist |
| Location | 8140 Ashton Ave, Manassas, Virginia |
| Authorized Official Name and Position | David W Hebda (CLINICAL PSYCHOLOGIST/ NEUROPSYCHO) |
| Authorized Official Contact | 7035878312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Of Northern Virginia 8140 Ashton Ave Suite 100 Manassas VA 20109-5698 Ph: (703) 587-8312 | Neuropsychology Of Northern Virginia 8140 Ashton Ave Suite 100 Manassas VA 20109-5698 Ph: (703) 587-8312 |
| NPI Number | 1699212126 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 07/20/2017 |
| Medicare PECOS PAC ID | 5991052516 |
|---|---|
| Medicare Enrollment ID | O20180726003547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699212126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810002258 (Virginia) | Primary |
| Provider Name | David W Hebda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124043419 PECOS PAC ID: 1153408711 Enrollment ID: I20080407000253 |
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