Barry B Ekdom PHD, PC
Barry B Ekdom PHD, PC is a Clinical Neuropsychologist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3040 Williams Dr Ste 402Fairfax, VA 22031-4618
Phone: (703) 573-3575
Fax: (703) 573-3574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 081001775 (VA) |
|---|
Record details
| NPI number | 1194804914 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Hashemian — Owner · (703) 573-3573 |
| Other names | Ekdom Neuropsychology Group |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | June 4, 2024 |
| Certification date | June 4, 2024 |
| Mailing address | 3040 Williams Dr, Suite 402, Fairfax, VA 22031-4618 |
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Dr. Barry B. Ekdom, PHD
3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 · (703) 573-3573