Integrated Clinical Concepts

NPI #1447421920 in Herndon, Virginia

Provider Information

NPI Number: 1447421920
Entity Type: Organization
Organization Name: Integrated Clinical Concepts
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 12, 2008
Last Updated: Oct 30, 2009

Practice Location

Address: 481 CARLISLE DRIVE
Address 2: SUITE 112
City: Herndon
State: Virginia
ZIP Code: 20170
Phone: (703) 481-6001

Authorized Official

Name: JUDITH L WALD, PSYD
Title: OWNER
Phone: (703) 481-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor	101Y00000X
Psychologist - Clinical — Clinical	103TC0700X

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