Fretta, Nancy Carol

Fretta, Nancy Carol is an sole proprietor health care provider with primary practice located at 513 Maple Ave W , Vienna VA 22180-4238. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fretta, Nancy Carol can be contacted via phone (703) 938-4100.

Contact Information

Primary practice address
513 Maple Ave W Vienna VA 22180-4238
Fax: (703) 281-4757
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000753 Virginia

Profile Details

NPI number 1477601128
LBN Legal business name Fretta, Nancy Carol
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477601128 NPPES
Virginia Other 0810000753 VA STATE LICENSE

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