Dr Wanna Prommart, PSYD - Psychologist in Alexandria, VA

Dr Wanna Prommart, PSYD is a Psychologist based in Alexandria, Virginia. Dr Wanna Prommart is licensed to practice in Virginia (license number 0810003512) and her current practice location is 205 S Whiting St, Suite 601, Alexandria, Virginia. She can be reached at her office (for appointments etc.) via phone at (571) 722-8872.

NPI number for Dr Wanna Prommart is 1124151014 and her current mailing address is 491 Naylor Pl, Alexandria, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124151014.

Contact Information

Dr Wanna Prommart, PSYD
205 S Whiting St, Suite 601,
Alexandria, VA 22304-2227
(571) 722-8872
(703) 212-8407

Map and Direction




Healthcare Provider's Profile

Full NameDr Wanna Prommart
GenderFemale
SpecialityPsychologist
Location205 S Whiting St, Alexandria, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124151014
  • Provider Enumeration Date: 03/13/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Wanna Prommart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124151014NPI-NPPES
11551672OtherACQH
199902OtherANTHEM BLUE CROSS BLUE SH
3403124OtherCIGNA
361274OtherMHN
027984OtherVMC BEHAVIOR HEALTH SERVI
3769OtherCAREFIRST BLUE CROSS BLUE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 0810003512 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wanna Prommart is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Wanna Prommart, PSYD
491 Naylor Pl,
Alexandria, VA 22304-2227

Ph: (571) 722-8872
Dr Wanna Prommart, PSYD
205 S Whiting St, Suite 601,
Alexandria, VA 22304-2227

Ph: (571) 722-8872

Reviews and Comments


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