Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRJANA IVANISEVIC, PHD
Active Sole ProprietorMIRJANA IVANISEVIC, PHD is a Clinical Neuropsychologist healthcare provider located in FALLS CHURCH, Virginia. NPI 1326770603 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · FALLS CHURCH, VA
Registration Details
- NPI Number
- 1326770603
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2022 (4.1743881791692 yrs)
- Last Updated
- Sep 9, 2022
- Licenses
-
0810007786 (VA)0810007786 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3300 GALLOWS RDFALLS CHURCH, VA, 220423307Browse VA providers · Browse ZIP 22042
- Phone
- 6786977240
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in FALLS CHURCH, VA
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN GEM SHAW | PSYD | 1417459835 |
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.