Grande, Marc D.
Grande, Marc D. is an sole proprietor health care provider with primary practice located at 7659 Leesburg Pike , Falls Church VA 22043-2520. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Grande, Marc D. can be contacted via phone (703) 462-4802.Contact Information
Primary practice address
7659 Leesburg Pike
Falls Church VA 22043-2520
Phone: (703) 462-4802
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810004026 | Virginia |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0810004026 | Virginia |
Profile Details
NPI number | 1356570089 |
---|---|
LBN Legal business name | Grande, Marc D. |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 1st, 2009 |
Last updated | Jul 1st, 2009 - about 16 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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