Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alisa M Roman, PHD

Individual provider Clinical Psychologist · NPI 1588672273

Dr. Alisa M Roman, PHD is a Clinical Psychologist in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11244 Waples Mill Rd Ste D-1
Fairfax, VA 22030-6040
Phone: (703) 385-0196
Fax: (703) 385-0197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810001888 (VA)

Record details

NPI number1588672273
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007

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