Tara Wall Brown, PSYD

NPI #1982603692 in Fairfax, Virginia

Provider Information

NPI Number: 1982603692
Entity Type: Individual
Name: Tara Wall Brown, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jul 15, 2005
Last Updated: Nov 10, 2011

Practice Location

Address: 8500 EXECUTIVE PARK AVE
Address 2: SUITE 200
City: Fairfax
State: Virginia
ZIP Code: 22031-2225
Phone: (703) 698-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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