Claudia Patricia Amendola

Individual provider Active NPI Clinical Psychologist · Alexandria, VA

NPI 1275916413 · NPPES record last updated Sep 25, 2021

Key facts

NPI
1275916413
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
0810005608 (VA)
Practice address
1904 Sherwood Hall LN
Alexandria, VA 22306-2735
Phone
(305) 310-0957
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0810005608VAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810005608 VA Yes

Addresses

Primary practice location

1904 Sherwood Hall LN
Alexandria, VA 22306-2735

Mailing address

1800 Diagonal Rd Ste 600
Alexandria, VA 22314-2840
Phone (571) 346-7616

Other providers in Alexandria, VA

All providers in Alexandria, VA · Clinical Psychologist in Virginia

Sources for this page

Verify at the official NPI Registry.