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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN DERIGHT, PH.D.

Active Sole Proprietor

DR. JONATHAN DERIGHT, PH.D. is a Clinical Neuropsychologist healthcare provider located in WOODBRIDGE, Virginia. NPI 1366842999 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · WOODBRIDGE, VA

Registration Details

NPI Number
1366842999
Provider Type
Individual
Gender
Male
NPI Issued
Sep 2, 2014 (11.962153858955 yrs)
Last Updated
Mar 17, 2018
Licenses
0810005434 (VA)
0810005434 (VA)
Sole Proprietor
Yes

Practice Information

Address
4320 PRINCE WILLIAM PKWY STE 109
WOODBRIDGE, VA, 221928100
Browse VA providers · Browse ZIP 22192
Phone
7039577300
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist
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.