Organization · Type 2 NPI

Keith K. Ewell, Ph.d.

Adolescent and Children Mental Health Clinic/Center · Fairfax, VA

NPI number 1265835219 Active

Practice location

12700 Sabastian Dr
Fairfax, VA 22030-6610

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X0810002479 (VA)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1265835219

Keith K. Ewell, Ph.d.'s National Provider Identifier is 1265835219, issued on Oct 6, 2014. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Fairfax, VA. The record was last updated on Oct 6, 2014.