Provider Demographics
NPI:1265500722
Name:SIGAFOOS, ANN DINSMOOR (PHD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:DINSMOOR
Last Name:SIGAFOOS
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 1:10520 JUDICIAL DR
Mailing Address - Street 2:FORENSICS PROGRAM, FAIRFAX COUNTY ADULT DETENTION CENTE
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5115
Mailing Address - Country:US
Mailing Address - Phone:703-246-4454
Mailing Address - Fax:703-383-9638
Practice Address - Street 1:10520 JUDICIAL DR
Practice Address - Street 2:FORENSICS PROGRAM, FAIRFAX COUNTY ADULT DETENTION CENTE
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5115
Practice Address - Country:US
Practice Address - Phone:703-246-4454
Practice Address - Fax:703-383-9638
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810001836103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical