| Northern Virginia Psychological Services, Llc | |
|
9707 Commonwealth Blvd Fairfax VA 22032-2824 | |
| (571) 217-5726 | |
| Not Available |
| Full Name | Northern Virginia Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9707 Commonwealth Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Claire Bartick (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5712175726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Psychological Services, Llc 9707 Commonwealth Blvd Fairfax VA 22032-2824 Ph: (571) 217-5726 | Northern Virginia Psychological Services, Llc 9707 Commonwealth Blvd Fairfax VA 22032-2824 Ph: (571) 217-5726 |
| NPI Number | 1063883742 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063883742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004449 (Virginia) | Primary |
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