Keith K. Ewell, Ph.d.

NPI #1265835219 in Fairfax, Virginia

Provider Information

NPI Number
1265835219
Entity Type
Organization
Organization Name
Keith K. Ewell, Ph.d.
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Oct 6, 2014
Last Updated
Oct 6, 2014

Practice Location

Address
12700 SABASTIAN DR
ZIP Code
22030-6610
Phone
(703) 322-0701

Authorized Official

Name
DR. KEITH K. EWELL, PH.D.
Title
LICENSED CLINICAL PSYCHOLOGIST
Phone
(703) 322-0701

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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