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Mirjana Ivanisevic, PHD
Clinical Neuropsychologist in Falls Church, Virginia
NPI 1326770603

Mirjana Ivanisevic is a Clinical Neuropsychologist based in Baltimore, VA. Mirjana Ivanisevic practices in Falls Church, VA and has the professional credentials of PHD. The NPI Number for Mirjana Ivanisevic is 1326770603 and holds a License No. 0810007786 (Virginia).

The current practice location address for Mirjana Ivanisevic is 3300 Gallows Rd, Falls Church, VA and can be reached out via phone at 678-697-7240. You can also correspond with Mirjana Ivanisevic through the mailing address at PO BOX 37174, BALTIMORE, MD - 21297-3174 (mailing address contact number: 571-423-5699).

Location: 3300 Gallows Rd, Falls Church, VA, 21297-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326770603
Provider Name
Mirjana Ivanisevic
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
3300 Gallows Rd, Falls Church, VA, 21297-3174
Phone Number
678-697-7240
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0810007786 01 VA VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS
institution
Provider Business Practice Location Address Details
Address
3300 Gallows Rd
City
Falls Church
State
Virginia
Zip
22042-3307
Phone Number
678-697-7240
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Gallows Rd
City
Falls Church
State
Virginia
Zip
22042-3307
Phone Number
678-697-7240
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
0810007786 (Virginia)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
0810007786 (Virginia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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