| Allied Psychological Assessment Services | |
|
615 Jefferson Davis Hwy Ste 203 Fredericksburg VA 22401-8407 | |
| (540) 681-1669 | |
| Not Available |
| Full Name | Allied Psychological Assessment Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 615 Jefferson Davis Hwy Ste 203, Fredericksburg, Virginia |
| Authorized Official Name and Position | Dusti Jo Sisk-fandrich (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5406811669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Psychological Assessment Services Po Box 5945 Fredericksburg VA 22403-5945 Ph: (540) 681-1669 | Allied Psychological Assessment Services 615 Jefferson Davis Hwy Ste 203 Fredericksburg VA 22401-8407 Ph: (540) 681-1669 |
| NPI Number | 1003456336 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Medicare PECOS PAC ID | 2961830781 |
|---|---|
| Medicare Enrollment ID | O20200310000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003456336 | NPI | - | NPPES |
| 1841597505 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Dusti Jo Sisk Fandrich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841597507 PECOS PAC ID: 9638432263 Enrollment ID: I20180413000584 |
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