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Contact Information

CONVERGENCE MENTAL PERFORMANCE AND PREPARATION LAB
4000 LEGATO RD STE 1100
FAIRFAX, VA22033-2893
 Phone: 571-336-2272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CONVERGENCE MENTAL PERFORMANCE AND PREPARATION LAB · (Female)

NPI # 1346015815
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2023
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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