Provider Demographics
NPI:1235296484
Name:CURRAN, GAIL ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:ANNE
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-5727
Mailing Address - Country:US
Mailing Address - Phone:703-734-6266
Mailing Address - Fax:571-633-9798
Practice Address - Street 1:1495 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5727
Practice Address - Country:US
Practice Address - Phone:703-734-6266
Practice Address - Fax:571-633-9798
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001373103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0810001373OtherSTATE LICENSE NUMBER