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Provider Information for 1427622356


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HALEH ROYANIAN LCSW


Sex: Female

NPI: 1427622356
Last Updated: 2023-07-08
Certification Date: 2023-07-08

Details

NameValue
NPI1427622356
Enumeration Date2021-05-15
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8709 KERRY LN
SPRINGFIELD, VA 22152-3206
United States

Phone: 571-216-9848 | Fax:
 
Primary Practice Address 8709 KERRY LN
SPRINGFIELD, VA 22152-3206
United States

Phone: 571-216-9848 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041S0200X - Social Worker - School
Yes 104100000X - Social Worker VA0904002684