Gregory, Molly Louise

Gregory, Molly Louise is an individual health care provider with primary practice located at 8296 Old Courthouse Road Suite C, Vienna VA 22182. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gregory, Molly Louise can be contacted via phone (703) 917-8681.

Contact Information

Primary practice address
8296 Old Courthouse Road Suite C Vienna VA 22182
Fax: (703) 336-8342
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904001560 Virginia

Profile Details

NPI number 1861532517
LBN Legal business name Gregory, Molly Louise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1861532517 NPPES
Other 4139955 AETNA
Other 096489 AETNA

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