Most Relevant Information
Provider Data
NPI Number: | 1003310467 |
Provider Name: | KATHERINE NETHERCOTE |
Entity Type: | Individual |
Taxonomy Code: | 103TS0200X |
Specialty: | Psychologist |
License Number: |
Most Important Dates
Enumeration Date: | 03/21/2018 |
Last Updated: | 03/21/2018 |
Provider Practice Location
8270 WILLOW OAKS CORPORATE DR
FAIRFAX
VA
220314511
Practice Location Phone/Fax
Phone: | 5714234900 |
Fax: |
Provider Mailing Location
8270 WILLOW OAKS CORPORATE DR
FAIRFAX
VA
220314511
Provider Mailing Phone/Fax
Phone: | |
Fax: |