| Wonderologie Llc | |
|
2312 Mount Vernon Ave Ste 206 Alexandria VA 22301-1375 | |
| (703) 835-4281 | |
| Not Available |
| Full Name | Wonderologie Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2312 Mount Vernon Ave Ste 206, Alexandria, Virginia |
| Authorized Official Name and Position | Karin Purugganan (CEO) |
| Authorized Official Contact | 7038354281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderologie Llc 2312 Mount Vernon Ave Ste 206 Alexandria VA 22301-1375 Ph: () - | Wonderologie Llc 2312 Mount Vernon Ave Ste 206 Alexandria VA 22301-1375 Ph: (703) 835-4281 |
| NPI Number | 1235705468 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235705468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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