DR. KYLE STANDIFORD


Address: 360 Maple Ave W Ste F, Vienna, VA 22180-5614
Phone: 7039380058

DR. KYLE STANDIFORD (NPI# 1033568639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033568639
Entity Type Individual
Full Name DR. KYLE STANDIFORD
Credential PSY.D.
Practice Address 360 Maple Ave W Ste F
Vienna
VA 22180-5614
Practice Telephone 7039380058
Mailing Telephone 7039350058
Enumeration Date 2016-06-06
Last Update Date 2020-07-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810006379 VA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6300 Stevenson Ave Ste B, Alexandria, VA 223043554 7039350058

Office Location

Street Address 360 MAPLE AVE W STE F
City VIENNA
State VA
Zip Code 22180-5614

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1992163190 Peter J Mcgarry Chiropractor 301 Maple Ave. W. Ste 515, Vienna, VA 22180 2016-02-02
1629479563 Jaimie Vettichira Samuel Pediatrics 100 East St Se Ste 301, Vienna, VA 22180 2014-09-10
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1881020568 Albert Juan Garcia Obstetrics & Gynecology 926 Fairway Dr., N.e., Vienna, VA 22180 2013-09-25
1295174662 Sallie Twentyman Social Worker 129 Park St Ne Ste 12b, Vienna, VA 22180 2013-06-19
1124390992 Gilda T. Clarke Counselor 133 Park St. Ne, Vienna, VA 22180 2012-02-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881206035 Lutheran Social Services of Illinois Psychologist 45 Industrial Dr, Vienna, IL 62995-1674 2020-08-19
1982152831 Gail Ann Kelsey Psychologist 131 Church St Nw, Vienna, VA 22180-4546 2016-09-20
1740614783 Ashley Hallheimer Psychologist 8381 Old Courthouse Rd Ste 330, Vienna, VA 22182-3818 2013-08-27
1457628448 Christine M Howard Psychologist 8381 Old Courthouse Rd, Suite 330, Vienna, VA 22182-3818 2011-11-19
1790078152 Normalbalance, LLC Psychologist 2235 Cedar Ln Ste 101, Vienna, VA 22182-5247 2011-05-18
1801043757 Margarita Avedisian Psychologist 346 Maple Ave W, Vienna, VA 22180-5612 2008-08-22
1285894451 Mary F. Schumann Psychologist 380 Maple Ave West, Suite 200, Vienna, VA 22180-5620 2008-06-11
1104003524 John Russell Atkinson Psychologist 1007 38th St, Vienna, WV 26105-2741 2008-01-28
1083803456 John P Allen Psychologist 2009 Carriage Ct, Vienna, VA 22181-2923 2007-10-22
1972716702 William Walter Clark Psychologist 2110 Gallows Rd # B, Vienna, VA 22182-3962 2007-05-08
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Competitor

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City VIENNA
Zip Code 22180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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