Provider Demographics
NPI:1689059701
Name:LOSADA MORCHIO, ANDREA FRANCISCA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:FRANCISCA
Last Name:LOSADA MORCHIO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:LOSADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2121 N WESTMORELAND ST
Mailing Address - Street 2:APT 328
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22213-1055
Mailing Address - Country:US
Mailing Address - Phone:704-995-6649
Mailing Address - Fax:
Practice Address - Street 1:2121 N WESTMORELAND ST
Practice Address - Street 2:#328
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22213-1055
Practice Address - Country:US
Practice Address - Phone:704-995-6649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016011103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist