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Dr. Carol Tilley, PHD
Specialist in Fairfax, Virginia
NPI 1639261100

Carol Tilley is a Specialist based in Herndon, VA. Carol Tilley practices in Fairfax, VA and has the professional credentials of PHD. The NPI Number for Carol Tilley is 1639261100 and holds a License No. 0810002060 (Virginia).

The current practice location address for Carol Tilley is 11244 Waples Mill Rd, Fairfax, VA and can be reached out via phone at 703-218-2066.

Location: 11244 Waples Mill Rd, Fairfax, VA, 20171-1520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639261100
Provider Name
Carol Tilley
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
11244 Waples Mill Rd, Fairfax, VA, 20171-1520
Phone Number
703-218-2066
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11244 Waples Mill Rd
City
Fairfax
State
Virginia
Zip
22030-6040
Phone Number
703-218-2066
Fax Number
person
Provider Business Mailing Address Details
Address
11244 Waples Mill Rd
City
Fairfax
State
Virginia
Zip
22030-6040
Phone Number
703-218-2066
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0810002060 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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