Landon, Mary M
Landon, Mary M is an sole proprietor health care provider with primary practice located at 3919 Old Lee Hwy Ste 82C , Fairfax VA 22030-2430. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Landon, Mary M can be contacted via phone (202) 760-1998.Contact Information
Primary practice address
3919 Old Lee Hwy Ste 82C
Fairfax VA 22030-2430
Phone: (202) 760-1998
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0701002764 | Virginia |
Profile Details
| NPI number | 1235175068 |
|---|---|
| LBN Legal business name | Landon, Mary M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235175068 | NPPES |
| Other | 1164061727 | NPPES |
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