Murdock, Susan A
Murdock, Susan A is an individual health care provider with primary practice located at 11325 Random Hills Rd Ste 360 , Fairfax VA 22030-0972. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Murdock, Susan A can be contacted via phone (703) 691-1326.Contact Information
Primary practice address
11325 Random Hills Rd Ste 360
Fairfax VA 22030-0972
Phone: (703) 691-1326
Fax: (703) 691-3553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810002097 | Virginia |
Profile Details
| NPI number | 1902845415 |
|---|---|
| LBN Legal business name | Murdock, Susan A |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Apr 16th, 2024 - about 7 months 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 | 1902845415 | NPPES |
| Virginia | MEDICAID | 7703139 |
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