NPI 1104942754

William Louis Licamele, MD

Practitioner Child & Adolescent Psychiatry Physician McLean, VA

Practice location

Address: 6760 Old McLean Village Dr., McLean, VA 22101-3906
Phone: (703) 734-6927
Mailing address: 6760 Old McLean Village Dr, McLean, VA 22101-3906

Registered specialties (2)

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 0101027430 (VA)

Other Psychiatry & Neurology providers in Virginia →

Child & Adolescent Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 6790 (WA)

Registry record

NPI: 1104942754
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2007
Record last updated: 8 Jun 2009

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.