Search › Virginia › 103G00000X
Jonathan Deright, PH.D
NPI 1366842999 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4320 Prince William Pkwy Ste 109
Woodbridge, VA 22192 - Phone
- (703) 957-7300
- Clinicians at this address
- 4
Additional practice sites
- 600 N Wolfe St, Baltimore, MD
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TF0200X
390200000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia