| Lakeside Psychological Llc | |
|
3403 Stoneybrae Dr Falls Church VA 22044-1225 | |
| (509) 850-1014 | |
| Not Available |
| Full Name | Lakeside Psychological Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3403 Stoneybrae Dr, Falls Church, Virginia |
| Authorized Official Name and Position | Nicholle Michalski (OWNER) |
| Authorized Official Contact | 5098501014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Psychological Llc 3403 Stoneybrae Dr Falls Church VA 22044-1225 Ph: (509) 850-1014 | Lakeside Psychological Llc 3403 Stoneybrae Dr Falls Church VA 22044-1225 Ph: (509) 850-1014 |
| NPI Number | 1669166146 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669166146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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