Provider Demographics
NPI:1255845434
Name:WARD, VALERIE DOMINIQUE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:DOMINIQUE
Last Name:WARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7918 JONES BRANCH DRIVE
Mailing Address - Street 2:FLOOR 4, UNIT 213
Mailing Address - City:TYSONS
Mailing Address - State:VA
Mailing Address - Zip Code:22102
Mailing Address - Country:US
Mailing Address - Phone:703-584-4511
Mailing Address - Fax:
Practice Address - Street 1:7918 JONES BRANCH DRIVE
Practice Address - Street 2:FLOOR 4, UNIT 213
Practice Address - City:TYSONS
Practice Address - State:VA
Practice Address - Zip Code:22102
Practice Address - Country:US
Practice Address - Phone:703-584-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-26
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005668103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical