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DR. AMY RENE HEARD-DAVISON PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1316107923

Individual Registrant:
DR. AMY RENE HEARD-DAVISON PH.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8316 ARLINGTON BLVD SUITE 310 FAIRFAX, VA 22031-5207 US
Tel: 703-641-0333  Fax: 703-573-3316

Contact information for business:
PO BOX 801  VIENNA, VA 22183-0801 US
Tel: 703-894-7612  Fax: --

Registration Information:
NPI: 1316107923
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
VA0810003801

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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