NPI 1124387253

Jason Grainer, PHD

Practitioner Clinical Psychologist Springfield, VA

Practice location

Address: 8134 Old Keene Mill Rd Suite 101, Springfield, VA 22152-1800
Phone: (703) 569-8731
Fax: (703) 569-7248

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810004573 (VA)

Other Psychologist providers in Virginia →

Registry record

NPI: 1124387253
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2012
Record last updated: 9 May 2012

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.