Provider Demographics
NPI:1356656714
Name:NAVIDI, ALI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:NAVIDI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6728 METROPOLITAN CENTER DR APT 404
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-4575
Mailing Address - Country:US
Mailing Address - Phone:240-603-4882
Mailing Address - Fax:703-562-7979
Practice Address - Street 1:5244 LYNGATE CT STE 200
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1631
Practice Address - Country:US
Practice Address - Phone:240-603-4882
Practice Address - Fax:703-562-7979
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004066103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical