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Keith K. Ewell, Ph.d.
Adolescent and Children Mental Health Clinic/Center in Fairfax, Virginia
NPI 1265835219

Keith K. Ewell, Ph.d. is an Adolescent and Children Mental Health Clinic/Center based in Fairfax, VA and is specialized in Adolescent and Children Mental Health. Keith K. Ewell, Ph.d. practices in Fairfax, VA. The NPI Number for Keith K. Ewell, Ph.d. is 1265835219 and holds a License No. 0810002479 (Virginia).

The current practice location address for Keith K. Ewell, Ph.d. is 12700 Sabastian Dr, Fairfax, VA and can be reached out via phone at 703-322-0701.

Location: 12700 Sabastian Dr, Fairfax, VA, 22030-6610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265835219
Provider Name
Keith K. Ewell, Ph.d.
Credential
Provider Entity Type
Organization
Address
12700 Sabastian Dr, Fairfax, VA, 22030-6610
Phone Number
703-322-0701
Fax Number
Provider Enumeration Date
10/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12700 Sabastian Dr
City
Fairfax
State
Virginia
Zip
22030-6610
Phone Number
703-322-0701
Fax Number
person
Provider Business Mailing Address Details
Address
12700 Sabastian Dr
City
Fairfax
State
Virginia
Zip
22030-6610
Phone Number
703-322-0701
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
0810002479 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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