Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALICE SUSAN BIDWELL, CNS
Active Sole ProprietorDR. ALICE SUSAN BIDWELL, CNS is a Psychiatric/Mental Health, Community CNS healthcare provider located in RESTON, Virginia. NPI 1689753089 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · RESTON, VA
Registration Details
- NPI Number
- 1689753089
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2006 (19.734253514362 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
0015000280 (VA)0015000280 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11250 ROGER BACON DRSUITE 12RESTON, VA, 201905219Browse VA providers · Browse ZIP 20190
- Phone
- 7034240461
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Psychiatric/Mental Health, Geropsychiatric CNS
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.