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

Jharna Mallik, CP

Individual provider Clinical Psychologist · NPI 1972876654

Jharna Mallik, CP is a Clinical Psychologist in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012

Practice location Address checks out

11204 Waples Mill Rd
Fairfax, VA 22030-6036
Phone: (703) 218-8500
Fax: (703) 359-0463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810004515 (VA)

Record details

NPI number1972876654
Entity typeIndividual (Type 1)
GenderFemale
Credentials CP
Sole proprietorYes
NPI enumeratedFebruary 11, 2012
Last updated in NPPESFebruary 13, 2012

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