| Philip I. Haber, Ltd. | |
|
12050 S Lakes Dr Reston VA 20191-1220 | |
| (703) 476-2348 | |
| (703) 476-6013 |
| Full Name | Philip I. Haber, Ltd. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12050 S Lakes Dr, Reston, Virginia |
| Authorized Official Name and Position | Philip I. Haber (PRESIDENT) |
| Authorized Official Contact | 7034762348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip I. Haber, Ltd. 11123 Timberhead Ct Reston VA 20191-4700 Ph: (703) 476-2348 | Philip I. Haber, Ltd. 12050 S Lakes Dr Reston VA 20191-1220 Ph: (703) 476-2348 |
| NPI Number | 1083751770 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083751770 | NPI | - | NPPES |
| 158333 | Other | VALUE OPTIONS | |
| 7233-0001 | Other | CARE FIRST | |
| 30679 | Other | CIGNA | |
| 7751097 | Other | AETNA | |
| 1036558 | Other | CIGNA | |
| 126400 | Other | VALUE OPTIONS | |
| 223114 | Other | ANTHEM | |
| 7650215 | Other | AETNA | |
| 7233-0004 | Other | CARE FIRST | |
| 063138 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701000976 (Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904000882 (Virginia) | Primary |
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