Provider Demographics
NPI:1942338298
Name:CHIRBY, BRENNA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRENNA
Middle Name:L
Last Name:CHIRBY
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 1:7603 NEWMARKET DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6623
Mailing Address - Country:US
Mailing Address - Phone:703-989-1600
Mailing Address - Fax:
Practice Address - Street 1:6862 ELM ST
Practice Address - Street 2:SUITE 230
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3897
Practice Address - Country:US
Practice Address - Phone:703-550-4323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002877103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical