Evidence Based Consultation LLC Ebc

NPI #1639783574 in Ashburn, Virginia

Provider Information

NPI Number: 1639783574
Entity Type: Organization
Organization Name: Evidence Based Consultation LLC Ebc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 8, 2020
Last Updated: Sep 8, 2020

Practice Location

Address: 43803 MICHENER DR
City: Ashburn
State: Virginia
ZIP Code: 20147-5807
Phone: (703) 443-4924

Authorized Official

Name: MICHELLE RAD, PSYD
Title: OWNER
Phone: (703) 443-4924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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