Individual provider · Type 1 NPI

Kim Havenner, PSY.D.

Clinical Psychologist · Fairfax, VA

NPI number 1972933364 Active

Practice location

10805 Main St Ste 500
Fairfax, VA 22030-4747

Mailing address

10714 Scott Dr
Fairfax, VA 22030-3023

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810004884 (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 1972933364

Kim Havenner, PSY.D.'s National Provider Identifier is 1972933364, issued on Nov 21, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fairfax, VA. The record was last updated on Nov 21, 2013.