Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS ALEXIS MARIE VICCHIO, MS
ActiveArt Therapist · HERNDON, VA
Registration Details
- NPI Number
- 1033091640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2025 (0.74549428612636 yrs)
- Last Updated
- Aug 11, 2025
- Licenses
-
0704017793 (VA)25-165 (VA)
Practice Information
- Address
-
13655 DULLES TECHNOLOGY DR STE 120HERNDON, VA, 201714634Browse VA providers · Browse ZIP 20171
- Phone
- 5716654025
- Primary Specialty
-
Art Therapist
221700000X
- Additional Specialty
- Art Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.