Individual provider · Type 1 NPI

Jack Merenda, PSYD

Clinical Psychologist · Fairfax, VA

NPI number 1174366330 Active

Practice location

3921 Blenheim Blvd
Fairfax, VA 22030-2429

Mailing address

9306 Old Keene Mill Rd Ste B
Burke, VA 22015-4280

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810005120 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1174366330

Jack Merenda, PSYD's National Provider Identifier is 1174366330, issued on Jun 17, 2024. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fairfax, VA. The record was last updated on Jun 17, 2024.