National Provider Identifier Database

CRYSTAL ICENHOUR, PHD – NPI #1699262691
Ph.D. Medical Genetics

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medical and dental specialists.


Contact Information

CRYSTAL ICENHOUR, PHD
45925 HORSESHOE DR STE 170
STERLING, VA20166-6609
Phone: 703-229-0406
Fax:
Website:
Specialty Taxonomy Code
* Ph.D. Medical Genetics 207SG0205X

* Indicates primary specialty

NPI Profile & details for CRYSTAL ICENHOUR

NPI Number 1699262691
Credentials PHD
Entity Individual
Enumeration date 04/16/2018
Last updated 01/20/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • VA License #: CLF0001793
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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