Provider Demographics
NPI:1437693397
Name:FIORILLO, DEVIKA (PHD)
Entity Type:Individual
Prefix:
First Name:DEVIKA
Middle Name:
Last Name:FIORILLO
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 1:8027 LEESBURG PIKE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TYSONS
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2701
Mailing Address - Country:US
Mailing Address - Phone:703-674-6225
Mailing Address - Fax:
Practice Address - Street 1:8027 LEESBURG PIKE
Practice Address - Street 2:SUITE 304
Practice Address - City:TYSONS
Practice Address - State:VA
Practice Address - Zip Code:22182-2701
Practice Address - Country:US
Practice Address - Phone:703-674-6225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005479103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical