npidexNPI registry + Medicare data

MICHELLE EABON, PH.D.

Clinical Child & Adolescent Psychologist · FAIRFAX, VA

Individual Active Opted out of Medicare NPI 1770529653

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Child & Adolescent Psychologist103TC2200X✓0810001597VA
Clinical Psychologist103TC0700X0810001597VA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2017-07-01 through 2027-07-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.