Provider Demographics
NPI:1972738722
Name:FROMM, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:FROMM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 S QUINCY ST
Mailing Address - Street 2:SUITE 1113
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2354
Mailing Address - Country:US
Mailing Address - Phone:202-297-5035
Mailing Address - Fax:703-333-3333
Practice Address - Street 1:2727 S QUINCY ST
Practice Address - Street 2:SUITE 1113
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-2354
Practice Address - Country:US
Practice Address - Phone:202-297-5035
Practice Address - Fax:703-333-3333
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717000650106H00000X
NJ37FI000080800106H00000X
DC000011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist