NPI 1194804914

Barry B Ekdom PHD, PC

Organisation Clinical Neuropsychologist Fairfax, VA

Practice location

Address: 3040 Williams Dr Suite 402, Fairfax, VA 22031-4618
Phone: (703) 573-3575
Fax: (703) 573-3574

Authorised official

Name: Nicole Hashemian
Title: Owner
Phone: (703) 573-3573

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 081001775 (VA)

Other Clinical Neuropsychologist providers in Virginia →

Registry record

NPI: 1194804914
Entity type: Organization
NPI issued: 3 Nov 2006
Record last updated: 4 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.