| Susan Kouzel, Rd Llc | |
|
1875 Campus Commons Dr Ste 225 Reston VA 20191-1533 | |
| (703) 431-6892 | |
| (571) 617-0037 |
| Full Name | Susan Kouzel, Rd Llc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 1875 Campus Commons Dr Ste 225, Reston, Virginia |
| Authorized Official Name and Position | Susan E Kouzel (REGISTERED DIETITIAN) |
| Authorized Official Contact | 7034316892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kouzel, Rd Llc 115 Hampshire Sq Sw Leesburg VA 20175-5036 Ph: (703) 431-6892 | Susan Kouzel, Rd Llc 1875 Campus Commons Dr Ste 225 Reston VA 20191-1533 Ph: (703) 431-6892 |
| NPI Number | 1619868577 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619868577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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