Provider Demographics
NPI:1881750230
Name:SALYER, KATHLEEN MERRILY (PSYCHOLOGIST, PHD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MERRILY
Last Name:SALYER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST, PHD
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Mailing Address - Street 1:6845 ELM ST
Mailing Address - Street 2:SUITE 511
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-6007
Mailing Address - Country:US
Mailing Address - Phone:703-734-1393
Mailing Address - Fax:703-450-8632
Practice Address - Street 1:6842 ELM ST
Practice Address - Street 2:STE 207
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3855
Practice Address - Country:US
Practice Address - Phone:703-734-1393
Practice Address - Fax:703-450-8632
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2017-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0810001774103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical