Provider Demographics
NPI:1245731330
Name:KHAYAT, NOURA ISABELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:NOURA
Middle Name:ISABELLE
Last Name:KHAYAT
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 1:300 N WASHINGTON ST STE 102D
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3441
Mailing Address - Country:US
Mailing Address - Phone:202-930-1814
Mailing Address - Fax:
Practice Address - Street 1:300 N WASHINGTON ST STE 102D
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3441
Practice Address - Country:US
Practice Address - Phone:202-930-1814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health