Provider Demographics
NPI:1740388610
Name:EPSTEIN, JASON B (PSYD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:B
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13895 HEDGEWOOD DR STE 313
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-7927
Mailing Address - Country:US
Mailing Address - Phone:703-389-1931
Mailing Address - Fax:703-580-4642
Practice Address - Street 1:13895 HEDGEWOOD DR STE 313
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-7927
Practice Address - Country:US
Practice Address - Phone:703-389-1931
Practice Address - Fax:703-580-4642
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003560103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192106OtherANTHEM BCBS
VA254823OtherKAISER PERMANENTE
VA23570023OtherCAREFIRST
030389866OtherTRICARE