Provider Demographics
NPI:1861023897
Name:COVINGTON, ELEANOR ALANNA (PHD)
Entity Type:Individual
Prefix:
First Name:ELEANOR ALANNA
Middle Name:
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 CLARENDON BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3840
Mailing Address - Country:US
Mailing Address - Phone:202-270-1668
Mailing Address - Fax:
Practice Address - Street 1:2690 CLARENDON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-3840
Practice Address - Country:US
Practice Address - Phone:703-584-5377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006395103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical