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Contact Information

TERRY ABSALOM
102 HERITAGE WAY NE STE 102
LEESBURG, VA20176-4544
 Phone: 703-777-0320
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TERRY ABSALOM · (Male)

NPI Number 1720776388
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2023
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 Yes
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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