Provider Demographics
NPI:1609065697
Name:IFTAIHA, AREEJ (PSYD)
Entity Type:Individual
Prefix:
First Name:AREEJ
Middle Name:
Last Name:IFTAIHA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 CHURCH ST NW STE 205
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4550
Mailing Address - Country:US
Mailing Address - Phone:571-261-7764
Mailing Address - Fax:
Practice Address - Street 1:144 CHURCH ST NW STE 205
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4550
Practice Address - Country:US
Practice Address - Phone:571-261-7764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA445109466OtherHEALTH CARE PROVIDER