Provider Demographics
NPI:1780337634
Name:BAEZ-POWELL, NATALIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:
Last Name:BAEZ-POWELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:BAEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 3713
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22116-3713
Mailing Address - Country:US
Mailing Address - Phone:407-430-9410
Mailing Address - Fax:
Practice Address - Street 1:7611 LEE HWY APT 103
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2849
Practice Address - Country:US
Practice Address - Phone:407-430-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007330103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist