| Peak Nt | |
|
107 E Holly Ave Suite 13 Sterling VA 20164-5405 | |
| (703) 444-7325 | |
| (703) 444-7325 |
| Full Name | Peak Nt |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 107 E Holly Ave, Sterling, Virginia |
| Authorized Official Name and Position | Donald Richard Durousseau (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7036060670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Nt 107 E Holly Ave Suite 13 Sterling VA 20164-5405 Ph: (703) 444-7325 | Peak Nt 107 E Holly Ave Suite 13 Sterling VA 20164-5405 Ph: (703) 444-7325 |
| NPI Number | 1265860787 |
|---|---|
| Provider Enumeration Date | 10/18/2013 |
| Last Update Date | 10/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265860787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810003784 (Virginia) | Primary |
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