Provider Demographics
NPI:1700958444
Name:NOWELL, CARRIE R (PSYD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:R
Last Name:NOWELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13027 FURNACE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LOVETTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20180-2417
Mailing Address - Country:US
Mailing Address - Phone:703-665-1099
Mailing Address - Fax:
Practice Address - Street 1:2 CARDINAL PARK DR SE STE 201B
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4401
Practice Address - Country:US
Practice Address - Phone:703-665-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003741103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical