Provider Demographics
NPI:1023005287
Name:FEDYSZEN, ANNE CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CATHERINE
Last Name:FEDYSZEN
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:13506 E BOUNDARY RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3930
Mailing Address - Country:US
Mailing Address - Phone:804-744-9652
Mailing Address - Fax:804-744-1265
Practice Address - Street 1:13506 E BOUNDARY RD
Practice Address - Street 2:SUITE A
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3930
Practice Address - Country:US
Practice Address - Phone:804-744-9652
Practice Address - Fax:804-744-1265
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry