Provider Demographics
NPI:1568745032
Name:DOCTOR HALPER & ASSOCIATES
Entity Type:Organization
Organization Name:DOCTOR HALPER & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BLAISDELL
Authorized Official - Last Name:HALPER
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:703-988-4990
Mailing Address - Street 1:10560 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7182
Mailing Address - Country:US
Mailing Address - Phone:703-988-4990
Mailing Address - Fax:703-988-4990
Practice Address - Street 1:10560 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7182
Practice Address - Country:US
Practice Address - Phone:703-988-4990
Practice Address - Fax:703-988-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004473103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty