Ilana Ilkovitch Burgh PSYD

NPI 1104142496 - Psychologist - 103TC0700X

NPI Details
NPI 1104142496
Gender Female
Enumeration Date 04/13/2010
Last Updated 02/04/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
1645 INTERNATIONAL DR
327
MC LEAN VA, 22102-4816, US
Phone (240) 354-7651
Fax
Business Location
1645 INTERNATIONAL DR
327
MC LEAN VA, 22102-4816, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Virginia
License Number 0810004048
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According to our database, Dr. Ilana Ilkovitch Burgh PSYD NPI is 1104142496, taxonomy code is 103TC0700X and license number is 0810004048, license state is located at Virginia. Ilana Ilkovitch Burgh PSYD physically located at 1645 International Dr, Mc Lean VA, 22102-4816. NPI Number Ilana Ilkovitch Burgh PSYD has the Individual type.

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1104142496 NPI number is provided on an as is basis without warranty of any kind. 1104142496 is maintained by the National Plan & Provider Enumeration System. The contents of Ilana Ilkovitch Burgh PSYD are for informational purposes only.