Provider Demographics
NPI:1396169298
Name:KARDEL, ERIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:KARDEL
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 1:106 ELDEN ST
Mailing Address - Street 2:SUITE 17
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4872
Mailing Address - Country:US
Mailing Address - Phone:703-787-9090
Mailing Address - Fax:
Practice Address - Street 1:106 ELDEN ST
Practice Address - Street 2:SUITE 17
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4872
Practice Address - Country:US
Practice Address - Phone:703-787-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004743103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist