Provider Demographics
NPI:1205612454
Name:CAHILL, ANNA CATHERINE TAYLOR (LAC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CATHERINE TAYLOR
Last Name:CAHILL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 KIRKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5238
Mailing Address - Country:US
Mailing Address - Phone:703-400-4661
Mailing Address - Fax:
Practice Address - Street 1:4001 9TH ST N STE 230
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1900
Practice Address - Country:US
Practice Address - Phone:703-400-4661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121001120171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist