Ekdom, Barry B.
Ekdom, Barry B. is an sole proprietor health care provider with primary practice located at 3040 Williams Dr Suite 402, Fairfax VA 22031-4618. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Ekdom, Barry B. can be contacted via phone (703) 573-3573.Contact Information
Primary practice address
3040 Williams Dr Suite 402
Fairfax VA 22031-4618
Phone: (703) 573-3573
Fax: (703) 573-3574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 0810001775 | Virginia |
Profile Details
| NPI number | 1457532756 |
|---|---|
| LBN Legal business name | Ekdom, Barry B. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Jun 3rd, 2024 - about last year |
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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