Deem, Michael Louis

Deem, Michael Louis is an individual health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Deem, Michael Louis can be contacted via phone (703) 771-5632.

Contact Information

Primary practice address
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544
Phone: (703) 771-5632
Fax: (703) 777-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810002638 Virginia

Profile Details

NPI number 1760594212
LBN Legal business name Deem, Michael Louis
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760594212 NPPES
Virginia Other 293876 AMERIGROUP
Virginia Other 215237 AMERIGROUP

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