| Lsn Psychological Services, Llc | |
| 
					1900 Campus Commons Dr Suite 100 Reston VA 20191-1561  | |
| (703) 677-8633 | |
| Not Available | 
| Full Name | Lsn Psychological Services, Llc | 
|---|---|
| Speciality | Psychologist - Clinical | 
| Location | 1900 Campus Commons Dr, Reston, Virginia | 
| Authorized Official Name and Position | Leslie Erin Stelljes Nanson (DIRECTOR) | 
| Authorized Official Contact | 7036778633 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lsn Psychological Services, Llc 11760 Sunrise Valley Dr Apt 814 Reston VA 20191-1411 Ph: (703) 677-8633  | Lsn Psychological Services, Llc 1900 Campus Commons Dr Suite 100 Reston VA 20191-1561 Ph: (703) 677-8633  | 
| NPI Number | 1619415817 | 
|---|---|
| Provider Enumeration Date | 02/08/2017 | 
| Last Update Date | 02/08/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619415817 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810005240 (Virginia) | Primary | 
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