Doctor Name: | DR. PAIGE ELIZABETH FEGAN |
NPI Number: | 1023367927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D, M.ED. |
License Number: | 0810004628 |
Business Practice Address: | 8140 Ashton Ave Suite 200 Manassas, VA - 201095698 |
Business Phone Number: | 7033309933 |
Business Fax Number: | 7033688454 |
Mailing Address: | 8140 Ashton Ave, Suite 200 MANASSAS |
State: | VA |
Postal Code: | 201095698 |
Phone Number: | 7033309933 |
Fax Number: | 7033688454 |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810004628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |