Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kim Havenner, PSYD

Individual provider Clinical Psychologist · NPI 1972933364

Dr. Kim Havenner, PSYD is a Clinical Psychologist in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2013
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

10805 Main St Ste 500
Fairfax, VA 22030-4747
Phone: (703) 283-4153
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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 0810004884 (VA)

Record details

NPI number1972933364
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedNovember 21, 2013
Last updated in NPPESNovember 21, 2013

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