Baron, Ida Sue

Baron, Ida Sue is an individual health care provider with primary practice located at 1830 Town Center Dr , Reston VA 20190-3292. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Baron, Ida Sue can be contacted via phone (301) 340-2119.

Contact Information

Primary practice address
1830 Town Center Dr Reston VA 20190-3292
Phone: (301) 340-2119
Fax: (301) 340-2119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 02300 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002315 Virginia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 02300 Maryland
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810002315 Virginia

Profile Details

NPI number 1225255102
LBN Legal business name Baron, Ida Sue
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 17 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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