Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810003941 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810003941 | VA |
N | 102L00000X | Psychologist | 0810003941 | VA |
N | 103T00000X | Psychologist | 0810003941 | VA |
N | 103TA0700X | Adult Development & Aging Psychologist | 0810003941 | VA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 0810003941 | VA |
N | 103G00000X | Clinical Psychologist | 0810003941 | VA |
N | 103TC0700X | Clinical Psychologist | 0810003941 | VA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 0810003941 | VA |
N | 103TE1100X | Exercise & Sports Psychologist | 0810003941 | VA |
N | 103TF0000X | Family Psychologist | 0810003941 | VA |
N | 103TF0200X | Forensic Psychologist | 0810003941 | VA |
N | 103TH0004X | Health Psychologist | 0810003941 | VA |
N | 103TM1800X | Intellectual & Developmental Disabilities | 0810003941 | VA |
N | 103TP0814X | Psychoanalysis | 0810003941 | VA |
N | 103TP2701X | Group Psychotherapist | 0810003941 | VA |
N | 103TR0400X | Rehabilitation Psychologist | 0810003941 | VA |
NPI | 1548421365 |
---|---|
Provider Name | Dr. Tanya Jean Mcgovern |
First Address | Arlington, VA 22209-1400 |
Second Address | Bethesda, MD 20889-1400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 27/03/2019 |