| Doctor Name: | DR. EUGENE ALOYSIUS DANNEMILLER |
| NPI Number: | 1518018092 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 0810000925 |
| Business Practice Address: | 2915 Hunter Mill Rd Oakton Prefessional Center, Suite 21 Oakton, VA - 221241716 |
| Business Phone Number: | 7039386867 |
| Business Fax Number: | 7039386203 |
| Mailing Address: | 2915 Hunter Mill Rd, Oakton Professional Center, Suite #21 OAKTON |
| State: | VA |
| Postal Code: | 221241716 |
| Phone Number: | 7039386866 |
| Fax Number: | 7039386203 |
| NPI Enumeration Date: | 01/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 0810000925 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |