Gregory, Molly Louise
Gregory, Molly Louise is an individual health care provider with primary practice located at 8296 Old Courthouse Road Suite C, Vienna VA 22182. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gregory, Molly Louise can be contacted via phone (703) 917-8681.Contact Information
Primary practice address
8296 Old Courthouse Road Suite C
Vienna VA 22182
Phone: (703) 917-8681
Fax: (703) 336-8342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904001560 | Virginia |
Profile Details
| NPI number | 1861532517 |
|---|---|
| LBN Legal business name | Gregory, Molly Louise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861532517 | NPPES |
| Other | 4139955 | AETNA | |
| Other | 096489 | AETNA |
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