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

DR. BARRY B. EKDOM, PH.D.

Active Sole Proprietor

DR. BARRY B. EKDOM, PH.D. is a Clinical Neuropsychologist healthcare provider located in FAIRFAX, Virginia. NPI 1457532756 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · FAIRFAX, VA

Registration Details

NPI Number
1457532756
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2007 (18.703024496721 yrs)
Last Updated
Jun 3, 2024
License
0810001775 (VA)
Sole Proprietor
Yes

Practice Information

Address
3040 WILLIAMS DR
SUITE 402
FAIRFAX, VA, 220314618
Browse VA providers · Browse ZIP 22031
Phone
7035733573
Fax
7035733574
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in FAIRFAX, VA

Name Credential NPI
DR. CYNTHIA LUCK SULLIVAN PH.D. 1801903000
DR. JEFFREY ADAM WILKEN PH.D. 1932216280
DR. JOHN W. WIRES PH.D. 1316002751
DR. MARY ELIZABETH QUIG PH.D. 1467668350
TIMOTHY FRATTO PH.D. 1962734194
MELISSA NICOLE WOMBLE PHD 1548715154
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.