Dierker, Glory Fox

Dierker, Glory Fox is an sole proprietor health care provider with primary practice located at 5691 Columbia Pike Suite 200, Falls Church VA 22041. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dierker, Glory Fox can be contacted via phone (703) 998-5606.

Contact Information

Primary practice address
5691 Columbia Pike Suite 200 Falls Church VA 22041
Fax: (703) 998-5608
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 07010001557 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002996 Virginia

Profile Details

NPI number 1750455937
LBN Legal business name Dierker, Glory Fox
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Feb 26th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750455937 NPPES
Other 149749000 DEPARTMENT OF LABOR
Other 28110004 DEPARTMENT OF LABOR
Other 2122848 DEPARTMENT OF LABOR
MEDICAID 7713690 DEPARTMENT OF LABOR
Other 2811004 DEPARTMENT OF LABOR
Other 2811004 DEPARTMENT OF LABOR
Other 2129080 DEPARTMENT OF LABOR
Other 0972793 DEPARTMENT OF LABOR
Other 141701 DEPARTMENT OF LABOR
Other 461335000 DEPARTMENT OF LABOR
Other 541521659 DEPARTMENT OF LABOR
Other 28110004 DEPARTMENT OF LABOR
Other 4481805 DEPARTMENT OF LABOR
Other 541521659 DEPARTMENT OF LABOR

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