| Psychiatric Center Of Northern Virginia | |
|
13617 Query Mill Rd North Potomac MD 20878-3967 | |
| (301) 213-3644 | |
| Not Available |
| Full Name | Psychiatric Center Of Northern Virginia |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 13617 Query Mill Rd, North Potomac, Maryland |
| Authorized Official Name and Position | Carlos Astrada (CEO) |
| Authorized Official Contact | 2028689001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Center Of Northern Virginia 13617 Query Mill Rd North Potomac MD 20878-3967 Ph: (301) 213-3644 | Psychiatric Center Of Northern Virginia 13617 Query Mill Rd North Potomac MD 20878-3967 Ph: (301) 213-3644 |
| NPI Number | 1104464924 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104464924 | NPI | - | NPPES |
| 740028400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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