| Modern Psychological Services Llc | |
|
6177 Grovedale Ct Ste 100 Alexandria VA 22310-2553 | |
| (703) 924-2370 | |
| (703) 924-2374 |
| Full Name | Modern Psychological Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6177 Grovedale Ct Ste 100, Alexandria, Virginia |
| Authorized Official Name and Position | Puran S Khalsa (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4152359982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Psychological Services Llc 6177 Grovedale Ct Ste 100 Alexandria VA 22310-2553 Ph: (703) 924-2370 | Modern Psychological Services Llc 6177 Grovedale Ct Ste 100 Alexandria VA 22310-2553 Ph: (703) 924-2370 |
| NPI Number | 1902159122 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902159122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0810004653 (Virginia) | Primary |
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