Margarita Avedisian, PH.D.
Individual provider Active NPI Clinical Psychologist · Vienna, VA
NPI 1801043757 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1801043757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810003016 (VA)
- Practice address
- 346 Maple Ave W
Vienna, VA 22180-5612 - Phone
- (703) 242-1415
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003016 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Chiropractic Center, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003016 | VA | Yes |
Addresses
Primary practice location
346 Maple Ave W
Vienna, VA 22180-5612
Mailing address
346 Maple Ave W
Vienna, VA 22180-5612
Phone (703) 242-1415
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All providers in Vienna, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.