NPI 1043520679

Bain C Ford, PSYD

Practitioner Clinical Psychologist Springfield, VA

Practice location

Address: 8134 Old Keene Mill Rd Suite 101, Springfield, VA 22152-1800
Phone: (703) 569-8731

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810004320 (VA)

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Registry record

NPI: 1043520679
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2010
Record last updated: 17 Oct 2010

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.