Provider Demographics
NPI:1518029594
Name:LAW, GREGORY ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALAN
Last Name:LAW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20915 ASHBURN RD
Mailing Address - Street 2:SUITE 235
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5677
Mailing Address - Country:US
Mailing Address - Phone:703-436-9941
Mailing Address - Fax:703-436-9941
Practice Address - Street 1:20915 ASHBURN RD
Practice Address - Street 2:SUITE 235
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5677
Practice Address - Country:US
Practice Address - Phone:703-436-9941
Practice Address - Fax:703-436-9941
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2014-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010575782084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry