Amal, Nida Ittayem

Amal, Nida Ittayem is an individual health care provider with primary practice located at 133 Park St Ne , Vienna VA 22180-4666. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Amal, Nida Ittayem can be contacted via phone (703) 281-2657.

Contact Information

Primary practice address
133 Park St Ne Vienna VA 22180-4666
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810006405 Virginia

Profile Details

NPI number 1255490439
LBN Legal business name Amal, Nida Ittayem
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jan 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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