Doctor Name: | MS. NANCY WACHTENHEIM |
NPI Number: | 1649302142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 0904001780 |
Business Practice Address: | 3923 Old Lee Hwy #63-d Fairfax, VA - 220302428 |
Business Phone Number: | 7032777668 |
Business Fax Number: | |
Mailing Address: | 3923 Old Lee Hwy, #63-d FAIRFAX |
State: | VA |
Postal Code: | 220302428 |
Phone Number: | 7032777668 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0904001780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |