Martha Gillis, PH.D

NPI 1871657080 · on the registry since 2006 · sole proprietor

Practice

Address: 11166 Fairfax Blvd
Suite 203
Fairfax, VA 22030
Phone: (703) 819-8445
Organisation at this address: Pig Llc
Therapy Cafe Llc
The Eden Healthcare
Keith J Wilson Dds Pc
Consultant Corner Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-29

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