Doctor Name: | DR. JILL ANN CARTY |
NPI Number: | 1033489901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 810003365 |
Business Practice Address: | 5113 Leesburg Pike Skyline 4, Suite800a Falls Church, VA - 22041 |
Business Phone Number: | 7038453317 |
Business Fax Number: | |
Mailing Address: | 10907 Hunter Station Rd, VIENNA |
State: | VA |
Postal Code: | 221812817 |
Phone Number: | 7038657070 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2012 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 810003365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |