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

Geoffrey Fowler, PSYD

Individual provider Clinical Psychologist · NPI 1417475435

Geoffrey Fowler, PSYD is a Clinical Psychologist in Leesburg, Virginia. Qualified in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2017
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

199 Liberty St SW
Leesburg, VA 20175-2715
Phone: (703) 621-7121
Fax: (703) 665-7686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1593 Spring Hill Rd Ste 705, Vienna, VA 22182-2249 — (804) 207-6737

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810006348 (VA)

Record details

NPI number1417475435
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 30, 2017
Last updated in NPPESOctober 14, 2023
Certification dateOctober 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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